ATI Fluid and Electrolytes Questions and Answers
1. A nurse is admitting a client
who reports nausea, vomit-
ing, and weakness. The client
has dry oral mucous mem-
branes and blood pressure
102/64 mm Hg. Which of the
following findings should the
nurse identify as manifesta-
tions of fluid...
ATI Fluid and Electrolytes Questions and Answers
1. A nurse is admitting a client A; Decreased skin turgor is a manifestation
who reports nausea, vomit- present with fluid volume deficit. Skin turgor
ing, and weakness. The client is decreased due to the lack of fluid within
has dry oral mucous mem- the body and results in dryness of the skin.
branes and blood pressure B; Concentrated urine is a manifestation
102/64 mm Hg. Which of the present with fluid volume deficit. Urine is
following findings should the concentrated due to lack of fluid in the vas-
nurse identify as manifesta- cular system, causing a decreased profu-
tions of fluid volume deficit? sion of the kidneys resulting in an increased
(Select all that apply.) urine specific gravity.
D; Low-grade fever is a manifestation pre-
A. Decreased skin turgor sent with fluid volume deficit. Low-grade
B. Concentrated urine fever is one of the body's ways to maintain
C. Bradycardia homeostasis to compensate for lack of fluid
D. Low-grade fever within the body.
E. Tachypnea E; Tachypnea is a manifestation present with
fluid volume deficit. Increased respirations
are the body's way to obtain oxygen due to
the lack of fluid volume within the body.
2. A nurse is admitting an old- A; Dyspnea is a manifestation present with
er adult client who reports a fluid volume excess. Dyspnea is due to an
weight gain of 2.3 kg (5 lb) in excess of fluids within the body and lungs,
48 hr. Which of the following and the client is struggling to breathe to
manifestations of fluid volume obtain oxygen.
excess should the nurse ex- B; Weight gain can be a result of edema.
pect? (Select all that apply.) D; Blood pressure rises as the heart must
work harder due to the excess fluid.
A. Dyspnea E; Weakness is due to the excess fluid that
B. Edema is retained, which depletes energy and in-
C. Bradycardia creases the workload for the body.
D. Hypertension
E. Weakness
3. A nurse is assessing a client D; Tachycardia is an attempt to maintain
who is dehydrated. Which of blood pressure, a manifestation of fluid vol-
the following findings should ume deficit.
the nurse expect?
, ATI Fluid and Electrolytes Questions and Answers
A. Moist skin
B. Distended neck veins
C. Increased urinary output
D. Tachycardia
4. A nurse is caring for a client D; Monitor for orthostatic hypotension be-
in a long-term facility who cause they have manifestations of dehydra-
has become weak, confused, tion due to decreased circulatory volume.
and experienced dizziness
when standing. The client's
temperature is 38.3 degrees
C (100.9 degrees F), pulse
92/min, respirations 20/min,
and blood pressure 108/60 mm
Hg. Which of the following ac-
tions should the nurse take?
A. Initiate fluid restrictions to
limit intake
B. Check for peripheral edema
C. Encourage the client to am-
bulate to promote oxygena-
tion
D. Monitor for orthostatic hy-
potension
5. A nurse is caring for a client A; Three tap water enemas can result in a
who has a blood sodium level decrease in blood sodium and potassium.
133 mEg/L and blood potassi- Tap water is hypotonic, and gastrointestinal
um level 3.4 mEq/L. The nurse losses are isotonic. This creates an imbal-
should recognize that which of ance and solute dilution.
the following treatments can
result in these laboratory find-
ings?
A. Three tap water enemas
B. 0.9% NaCl solution IV at 50
ml/hr
C. 5% dextrose with 0.45%
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