29 Questions
Which assessment finding would indicate a fluid volume excess in a client?
Lung congestion and increased heart rate
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
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
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
What is the most likely symptom to be observed in a client experiencing fluid volume excess?
Lung congestion and increased heart rate
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
What is the normal range for serum potassium level?
4.5 to 6.0 mEq/L
What is a potassium deficit known as?
Hypokalemia
Which condition places a client at risk for hypokalemia?
Gastrointestinal suction
What is the normal range for uric acid level?
3.2 to 7.8 mg/dL
What client condition is at risk for hyperkalemia?
Hypokalemia
Which cognitive skill helps in recognizing cues related to electrolyte imbalances?
Clinical judgment
Which assessment finding is specifically associated with fluid volume deficit?
Flat neck and hand veins
Which clinical manifestation can be present in both fluid volume excess and deficit?
Elevated CVP
What is a characteristic of a bounding pulse in the context of fluid volume excess?
Increased CVP
Which statement is true regarding the assessment findings of fluid volume excess?
Altered level of consciousness
What is a distinguishing feature between fluid volume excess and deficit in terms of hemodynamic parameters?
Increased CVP in excess, decreased CVP in deficit
Which finding should alert the nurse to suspect fluid volume excess as opposed to deficit?
Weight gain
What is the priority concept related to the discussed scenario?
Fluid and Electrolytes
Which condition increases the risk of fluid volume deficit?
Draining Fistulas
What is a common cause of fluid volume excess in clients?
Increased Respirations
Which client condition poses the highest risk for fluid volume excess?
Long-term Corticosteroid Therapy
What can be a consequence of inadequate fluid intake?
Heart Failure
Which intervention is most appropriate for a client at risk for fluid volume deficit?
Monitoring Fluid Intake and Output
What is an example of a sensible fluid loss?
Fluid loss through urination
How can insensible losses occur?
Through the skin and lungs
Which type of fluid loss cannot be measured accurately?
Fluid loss through the skin
What are insensible losses?
Losses that occur without person's awareness
What is a characteristic of sensible fluid losses?
They are losses of which the person is aware
Test your knowledge on identifying assessment findings in clients with fluid volume deficit. Determine the correct assessment finding when suspecting a client is experiencing a fluid volume deficit.
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