Nursing Management of Fluid Volume Excess Quiz

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What is a common method for assessing for fluid volume excess (FVE)?

Assessing blood pressure continuously

Conducting regular ECGs

Measuring I&O at regular intervals (correct)

Performing daily blood glucose tests

How is pitting edema assessed?

By observing the color changes in the skin

By pressing a finger into the affected part to create an indentation (correct)

By measuring blood pressure in the extremities

By assessing skin temperature in the affected area

What is the recommended action for patients experiencing rapid weight gain?

Administer diuretics without consultation

Notify the healthcare provider (correct)

Increase sodium intake

Encourage vigorous exercise

How should peripheral edema be monitored?

By measuring the circumference of the extremity with a tape measure Signup and view all the answers

What is a common dietary intervention for patients with fluid volume excess (FVE)?

Sodium-restricted diet Signup and view all the answers

Why are patients advised to avoid over-the-counter (OTC) medications without consulting a healthcare provider?

OTC medications may contain sodium Signup and view all the answers

Where is the degree of edema monitored in ambulatory patients?

Feet and ankles Signup and view all the answers

How is breath sounds assessed in at-risk patients?

At regular intervals Signup and view all the answers

What should be considered if fluid retention persists despite adherence to a prescribed diet?

Hidden sources of sodium Signup and view all the answers

What is the scale used to evaluate pitting edema?

1+ to 4+ Signup and view all the answers

Why are patients instructed to avoid OTC medications?

Due to potential sodium content Signup and view all the answers

What region is assessed for edema in patients confined to bed?

Sacral region Signup and view all the answers

What interventions are recommended for controlling hypervolemia?

Promoting rest, restricting sodium intake, monitoring parenteral fluid therapy, and administering appropriate medications Signup and view all the answers

How does bed rest contribute to diuresis of fluid?

It diminishes venous pooling and increases effective circulating blood volume and renal perfusion Signup and view all the answers

What can cause localized edema?

Rheumatoid arthritis Signup and view all the answers

What is a common cause of increased extracellular fluid (ECF) volume?

Sodium retention Signup and view all the answers

What triggers the renin–angiotensin–aldosterone system in response to decreased cardiac output?

Low perfusion sensed by the kidneys Signup and view all the answers

Which condition can result in ascites?

Cirrhosis Signup and view all the answers

What is the goal of treatment for edema?

Preserve or restore the circulating intravascular fluid volume Signup and view all the answers

What is a potential treatment for ascites?

Paracentesis Signup and view all the answers

What type of medications could cause edema?

Nonsteroidal anti-inflammatory drugs (NSAIDs) Signup and view all the answers

What is a type of severe generalized edema?

Anasarca Signup and view all the answers

What is the result of increased interstitial oncotic pressure?

Expansion of the interstitial fluid compartment Signup and view all the answers

What should patients with FVE be taught to monitor?

Fluid intake and output (I&O) and body weight changes Signup and view all the answers