cellular regulation saunders medsurg1 ex2

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Questions and Answers

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?

<p>The client with Cushing’s syndrome (B)</p> Signup and view all the answers

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

<p>Lung congestion and increased heart rate (C)</p> Signup and view all the answers

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

<p>Client taking diuretics showing tenting of the skin (C)</p> Signup and view all the answers

What is the normal range for serum potassium level?

<p>4.5 to 6.0 mEq/L (B)</p> Signup and view all the answers

What is a potassium deficit known as?

<p>Hypokalemia (A)</p> Signup and view all the answers

Which condition places a client at risk for hypokalemia?

<p>Gastrointestinal suction (A)</p> Signup and view all the answers

What is the normal range for uric acid level?

<p>3.2 to 7.8 mg/dL (B)</p> Signup and view all the answers

What client condition is at risk for hyperkalemia?

<p>Hypokalemia (D)</p> Signup and view all the answers

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

<p>Clinical judgment (D)</p> Signup and view all the answers

Which assessment finding is specifically associated with fluid volume deficit?

<p>Flat neck and hand veins (D)</p> Signup and view all the answers

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

<p>Elevated CVP (C)</p> Signup and view all the answers

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

<p>Increased CVP (D)</p> Signup and view all the answers

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

<p>Altered level of consciousness (B)</p> Signup and view all the answers

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

<p>Increased CVP in excess, decreased CVP in deficit (C)</p> Signup and view all the answers

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

<p>Weight gain (C)</p> Signup and view all the answers

What is the priority concept related to the discussed scenario?

<p>Fluid and Electrolytes (A)</p> Signup and view all the answers

Which condition increases the risk of fluid volume deficit?

<p>Draining Fistulas (A)</p> Signup and view all the answers

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

<p>Increased Respirations (A)</p> Signup and view all the answers

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

<p>Long-term Corticosteroid Therapy (C)</p> Signup and view all the answers

What can be a consequence of inadequate fluid intake?

<p>Heart Failure (A)</p> Signup and view all the answers

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

<p>Monitoring Fluid Intake and Output (C)</p> Signup and view all the answers

What is an example of a sensible fluid loss?

<p>Fluid loss through urination (A)</p> Signup and view all the answers

How can insensible losses occur?

<p>Through the skin and lungs (A)</p> Signup and view all the answers

Which type of fluid loss cannot be measured accurately?

<p>Fluid loss through the skin (A)</p> Signup and view all the answers

What are insensible losses?

<p>Losses that occur without person's awareness (A)</p> Signup and view all the answers

What is a characteristic of sensible fluid losses?

<p>They are losses of which the person is aware (B)</p> Signup and view all the answers

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