Nursing Assessment: Fluids and Electrolytes

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What is the primary function of water in the body?

To serve as a medium for metabolic reactions (correct)
To regulate body temperature
To store energy for the body
To transport oxygen to cells

What is the approximate proportion of body fluid that is intracellular?

Two-thirds (correct)
Three-quarters
One-quarter
One-third

What is the term for the balance of fluids, electrolytes, and acids and bases in the body?

Fluid balance
Electrolyte regulation
Physiologic homeostasis (correct)
Acid-base equilibrium

Which of the following is NOT a function of water in the body?

Storing energy (A) Signup and view all the answers

What is the term for the fluid found within the vascular system?

Intravascular fluid (C) Signup and view all the answers

What is the approximate proportion of body fluid that is extracellular?

One-third (A) Signup and view all the answers

What is the primary goal of evaluating the effectiveness of interventions in the planning stage?

To maintain or restore fluid balance, pulmonary ventilation and oxygenation, and normal electrolyte balance (A) Signup and view all the answers

What percentage of the air we breathe is composed of oxygen?

21% (B) Signup and view all the answers

What is a potential etiology of Impaired Oral Mucous Membrane?

Fluid volume deficit (B) Signup and view all the answers

What is the process of gas exchange between the individual and the environment?

Respiration (B) Signup and view all the answers

Which of the following nursing diagnoses is related to hypovolemia and/or cardiac dysrhythmias?

Decreased Cardiac Output (D) Signup and view all the answers

What is the movement of air between the atmosphere and the alveoli of the lungs?

Pulmonary ventilation (D) Signup and view all the answers

What is a potential risk associated with calcium shift out of bones into extracellular fluids?

Injury (B) Signup and view all the answers

What is a broad goal of nursing interventions for fluid, electrolyte, and acid-base imbalances?

Maintain or restore normal fluid balance (B) Signup and view all the answers

What are the two phases of breathing?

Inspiration and expiration (A) Signup and view all the answers

What is the process of diffusion of oxygen and carbon dioxide between the alveoli and pulmonary capillaries?

Alveolar-capillary gas exchange (D) Signup and view all the answers

Which of the following nursing diagnoses is related to electrolyte imbalance?

Acute Confusion (B) Signup and view all the answers

What is a potential consequence of fluid volume deficit or edema?

Ineffective Tissue Perfusion (A) Signup and view all the answers

What is the primary goal of care for a client with oxygenation problems?

Maintain a patent airway and improve pulmonary ventilation (B) Signup and view all the answers

Which nursing intervention promotes maximum chest expansion in bed-confined clients?

Positioning the client in a semi-Fowler's or high-Fowler’s position (C) Signup and view all the answers

What is a potential risk associated with oxygenation problems?

Skin and tissue breakdown (C) Signup and view all the answers

What is the purpose of turning the client from side to side frequently?

To permit alternate sides of the chest to expand maximally (C) Signup and view all the answers

What is a potential outcome of ineffective breathing pattern?

Fatigue (A) Signup and view all the answers

What is the rationale for encouraging ambulation in clients with oxygenation problems?

To improve ability to participate in physical activities (B) Signup and view all the answers

What is the primary purpose of using room humidifiers?

To prevent mucous membranes from drying and becoming irritated (D) Signup and view all the answers

What is the function of expectorants in treating respiratory problems?

To break up mucus, making it more liquid and easier to expectorate (A) Signup and view all the answers

What is the term for the forceful striking of the skin with cupped hands in respiratory therapy?

Percussion (A) Signup and view all the answers

What is the purpose of using nebulizers in respiratory therapy?

To deliver humidity and medications (B) Signup and view all the answers

What is the purpose of using incentive spirometry in respiratory therapy?

To improve pulmonary ventilation (A) Signup and view all the answers

What is the term for the nursing functions performed according to a physician's order, including percussion, vibration, and postural drainage?

Percussion, vibration, and postural drainage (D) Signup and view all the answers