cellular regulation saunders medsurg1 ex2

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Which assessment finding would indicate a fluid volume excess in a client?

Lung congestion and increased heart rate (correct)

Weight loss and poor skin turgor

Increased respirations and increased blood pressure

Decreased hematocrit and increased urine output

Which client would the nurse suspect is experiencing fluid volume deficit based on the given scenario?

The client taking diuretics who has tenting of the skin (correct)

The client with kidney disease that developed as a complication of diabetes mellitus

The client with an ileostomy from a recent abdominal surgery

The client requiring intermittent gastrointestinal suctioning

Which condition puts a client at risk for fluid volume excess according to the information provided?

The client with kidney disease that developed as a complication of diabetes mellitus (correct)

The client with an ileostomy from a recent abdominal surgery

The client taking diuretics who has tenting of the skin

The client requiring intermittent gastrointestinal suctioning

Which client has the highest risk of developing a potassium level of 5.5 mEq/L (5.5 mmol/L) based on the provided information?

The client with Cushing’s syndrome Signup and view all the answers

What is the most likely symptom to be observed in a client experiencing fluid volume excess?

Lung congestion and increased heart rate Signup and view all the answers

Which scenario would raise suspicion of fluid volume deficit in a client undergoing treatment for heart failure?

Client taking diuretics showing tenting of the skin Signup and view all the answers

What is the normal range for serum potassium level?

4.5 to 6.0 mEq/L Signup and view all the answers

What is a potassium deficit known as?

Hypokalemia Signup and view all the answers

Which condition places a client at risk for hypokalemia?

Gastrointestinal suction Signup and view all the answers

What is the normal range for uric acid level?

3.2 to 7.8 mg/dL Signup and view all the answers

What client condition is at risk for hyperkalemia?

Hypokalemia Signup and view all the answers

Which cognitive skill helps in recognizing cues related to electrolyte imbalances?

Clinical judgment Signup and view all the answers

Which assessment finding is specifically associated with fluid volume deficit?

Flat neck and hand veins Signup and view all the answers

Which clinical manifestation can be present in both fluid volume excess and deficit?

Elevated CVP Signup and view all the answers

What is a characteristic of a bounding pulse in the context of fluid volume excess?

Increased CVP Signup and view all the answers

Which statement is true regarding the assessment findings of fluid volume excess?

Altered level of consciousness Signup and view all the answers

What is a distinguishing feature between fluid volume excess and deficit in terms of hemodynamic parameters?

Increased CVP in excess, decreased CVP in deficit Signup and view all the answers

Which finding should alert the nurse to suspect fluid volume excess as opposed to deficit?

Weight gain Signup and view all the answers

What is the priority concept related to the discussed scenario?

Fluid and Electrolytes Signup and view all the answers

Which condition increases the risk of fluid volume deficit?

Draining Fistulas Signup and view all the answers

What is a common cause of fluid volume excess in clients?

Increased Respirations Signup and view all the answers

Which client condition poses the highest risk for fluid volume excess?

Long-term Corticosteroid Therapy Signup and view all the answers

What can be a consequence of inadequate fluid intake?

Heart Failure Signup and view all the answers

Which intervention is most appropriate for a client at risk for fluid volume deficit?

Monitoring Fluid Intake and Output Signup and view all the answers

What is an example of a sensible fluid loss?

Fluid loss through urination Signup and view all the answers

How can insensible losses occur?

Through the skin and lungs Signup and view all the answers

Which type of fluid loss cannot be measured accurately?

Fluid loss through the skin Signup and view all the answers

What are insensible losses?

Losses that occur without person's awareness Signup and view all the answers

What is a characteristic of sensible fluid losses?

They are losses of which the person is aware Signup and view all the answers