Questions and Answers
A nurse is performing an admission assessment on a client who has hypovolemia due to vomiting and diarrhea. The nurse should expect which of the following findings? (Select all that apply)
A nurse should identify that which of the following clients is at risk for hypovolemia?
Which of the following findings is a manifestation of dehydration? (Select all that apply)
For which of the following clients should the nurse anticipate a prescription for fluid restriction?
Signup and view all the answers
Which diagnostic procedure is preferred to indicate pulmonary congestion?
Signup and view all the answers
Which of the following actions should the nurse include for a client who has dehydration?
Signup and view all the answers
A patient with a medical diagnosis of CHF is admitted with complaints of SOB. The nurse should expect to discover what other findings? (Select all that apply)
Signup and view all the answers
Which of the following is correct regarding fluid volume excess (FVE)? (Select all that apply)
Signup and view all the answers
Which action should the nurse take for an older adult client in a LTC facility who is dehydrated?
Signup and view all the answers
Which of the following findings should a nurse expect in a client who is dehydrated due to fluid volume deficit (FVD)?
Signup and view all the answers
A nurse is observing an older adult client receiving packed RBCs. Which findings should the nurse identify as manifestations of FVE and report? (Select all that apply)
Signup and view all the answers
Which of the following findings should the nurse identify as manifestations of fluid volume deficit (FVD)? (Select all that apply)
Signup and view all the answers
Study Notes
Fluid Volume Deficit (FVD)
- Hypovolemia due to vomiting and diarrhea may present with manifestations such as tachycardia, syncope, decreased skin turgor, and hyperthermia.
- Clients with NG suctioning are at high risk for hypovolemia due to excessive gastrointestinal losses.
- Indicators of dehydration include elevated hematocrit, increased serum sodium, and high urine specific gravity, reflecting hemoconcentration.
- Assessing daily weight is crucial for patients with dehydration to evaluate treatment efficacy.
Fluid Volume Excess (FVE)
- Clients with heart failure require fluid and sodium restriction to alleviate cardiac workload.
- Symptoms like tachycardia, moderate edema, hypertension, and dizziness may indicate FVE, often seen in congestive heart failure patients.
- Diagnostically, decreased serum and urine osmolarity, lower hematocrit and hemoglobin levels, and increased urinary output align with fluid overload conditions.
Nursing Interventions
- Monitor for signs of orthostatic hypotension in dehydrated older adults due to reduced circulatory volume.
- Anticipate the development of weak, thready pulses in clients experiencing fluid volume deficit resulting from low blood pressure.
- For patients receiving packed RBCs, watch for dyspnea, edema, hypertension, and overall weakness as signs of developing fluid volume excess.
Key Laboratory Findings
- Decreased BUN, urine sodium, and specific gravity typically indicate overhydration or fluid excess conditions.
- Concentrated urine, alongside findings like decreased skin turgor and elevated temperature, suggest fluid volume deficit.
Important Patient Education
- Encourage hydration awareness and monitoring in at-risk populations to prevent complications from both FVD and FVE.
- Advise against excessive fluid intake in conditions like heart failure or renal impairment to avoid fluid overload scenarios.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on Fluid Volume Deficit (FVD) and Fluid Volume Excess (FVE) with this flashcard quiz. The questions focus on the nursing assessment findings related to hypovolemia. Prepare to enhance your understanding of fluid imbalances in nursing care.
