Exam (elaborations)
Exam 3 Fundamentals B260 IUPUI correctly answered
- Course
- Nurs-b260
- Institution
- Indiana University
Exam 3 Fundamentals B260 IUPUI correctly answered
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Exam 3 Fundamentals B260 IUPUIFluid - correct answer ✔✔water that contains dissolved or suspended substances such as glucose, mineral salts, and proteins
Fluid amount - correct answer ✔✔Volume
Fluid concentration - correct answer ✔✔osmolality
Fluid composition - correct answer ✔✔electrolyte concentration
Degree of Acidity - correct answer ✔✔pH
Characteristics of body fluids - correct answer ✔✔The characteristics of body fluids influence body system function through their effects on cell function. All of these characteristics have regulatory mechanisms, which keep them in balance for normal function.
Normal Oral intake - correct answer ✔✔1100-1400mL
Normal Foods intake fluid - correct answer ✔✔800-1000mL
Metabolism normal intake fluid - correct answer ✔✔300mL
Skin (sweat output) fluid - correct answer ✔✔500-600mL
insensible lungs output fluid - correct answer ✔✔400 mL
GI output fluid - correct answer ✔✔100-200 mL Urine output Fluid - correct answer ✔✔1200-Ml
Total output fr fluid - correct answer ✔✔2200-2700 mL
Total intake fluid - correct answer ✔✔2200-2700mL
Who are at risk for dehydration? and why? - correct answer ✔✔infants, patients with neurological or psychological problems, and older adults who are unable to communicate their thirst.
What is the best nursing indication for fluid status? - correct answer ✔✔patient weight
formula needed weight in kilograms - correct answer ✔✔1st: 10kg = 100ml/kg
2nd: 10kg = 50ml/kg
any other = 20 ml/kg
(10,5,2)
ICF - correct answer ✔✔intracellular fluid, within cells. 2/3 total body water
ECF - correct answer ✔✔Extracellular fluid (Fluid outside cells- but within body)
- interstitial
- intravascular
- transcellular
transcellular fluids - correct answer ✔✔are secreted by epithelial cells and include cerebrospinal, pleural, peritoneal, and synovial fluids
Intravascular fluid - correct answer ✔✔is blood plasma found in the vascular system.
interstitial fluids - correct answer ✔✔the fluids between cells and outside the blood vessels. These include lymph (fluid in the lymphatic channels). Hemoglobin test does what? - correct answer ✔✔Measures the amount of hemoglobin in the blood and is a good measure of the blood's ability to carry O2 throughout the body.
Hematocrit - correct answer ✔✔the amount of space (volume) RBC take up in the blood.
Hypovolemia causes - correct answer ✔✔- diarrhea
- fistula drainage
- hemorrhage
- Polyuria
- fever
This is volume deficit
If the Hypovolemia is bad enough?? (signs and symptoms) - correct answer ✔✔High HR
Low BP
- pulse weak
- Increase RR
- severe fluid volume loss
- Urine output less than 500mL/day
- Alter mental status (confusion, drowsiness, lethargy, confusion)
Skin signs and symptoms of HYPOvolemia - correct answer ✔✔- turgor is diminished
- cool dry
- dry - wrinkled
- thirsty
- oral mucous membranes are dry
Causes of hypervolemia - correct answer ✔✔heart failure renal failure
excessive intake of fluids
Cardiovascular changes in Hypervolemia - correct answer ✔✔- increase pulse, full and bounding
- full peripheral pulses
- increase BP
- distended neck veins
Urine and Lab data for Hypervolemia - correct answer ✔✔polyuria, nocturia
decrease in hematocrit BUN
Respiratory changes in HYPERvolemia - correct answer ✔✔- Increase respiratory rate
- shallow respirations
- increase dyspnea with exertion or in the supine position
- pulmonary congestion and pulmonary edema
- SOB, Irritative cough, Moist crackles
Neurological changes in HYPERvolemia - correct answer ✔✔- Altered LOC
- Visual disturbances
- Skeletal muscle weakness
- paresthesias
- cerebral edema: headache, confusion, lethargy, diminished reflexes, seizures/coma
Skin and GI changes in Hypervolemia - correct answer ✔✔Edematous may feel cool
- skin may feel taut and hard
- edema-eyelids, facial, dependent (sacrum), pitting, peripheral extremities
- increased motility
- enlarged liver
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