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NURS 309 Exam 1 (Fluid and Electrolytes) Questions And Answers.
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NURS 309 Exam 1 (Fluid and Electrolytes) Questions And Answers.NURS 309 Exam 1 (Fluid and Electrolytes) Questions And Answers.NURS 309 Exam 1 (Fluid and Electrolytes) Questions And Answers.NURS 309 Exam 1 (Fluid and Electrolytes) Questions And Answers.NURS 309 Exam 1 (Fluid and Electrolytes) Questi...

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  • August 27, 2024
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  • 2024/2025
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  • nurs 309 exam 1 fluid and electrolytes questions

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NURS 309 Exam 1 (Fluid and
Electrolytes) Questions And Answers


Assessing rFluid rBalance r- rcorrect rAnswers r✔✔ r-What rdo rwe rlook rat:
-**weight rand rI&Os r
-VS, rCVP r
-Na, rBUN, rHct
-head rto rtoe rassessment r(edema, rturgor, rascites) r

How roften rassess:
-Q8 r(typically) r
-Q1 rif rimbalance rpresent rfor rPt

Serum rOsmolality r- rcorrect rAnswers r✔✔ r-*normal rlevel: r275-300 r

-concentration rof ramount rof rsolutes/chemicals rin rblood

Serum rOsmolality: rHypervolemia rand rHypovolemia r- rcorrect rAnswers
r✔✔ r-Hypervolemia: r(FVE) r

-osmo: rdecreased r(diluted)
-weight: rincreased r
-intake r(increased), routput r(decreased) r

-Increased: rBP, rCVP r
-Decreased: rNa, rBUN, rHct, rcreatinine, rHR, rtemp r

Hypovolemia: r(FVD)
-osmo: rincreased r
-weight: rdecreased r
-intake r(decreased), routput r(increased) r

-Increased: rNa, rBUN, rHct, rcreatinine, rHR, rtemp r
-Decreased: rBP, rCVP

Hypovolemia r(FVD) r- rcorrect rAnswers r✔✔ r-*decreased rwater r(fluid),
rincreased rNa, rincreased rCl r

,Causes:
-vomiting, rdiarrhea
-GI rsuction
-excessive rperspiration r
-NPO ror rdecreased rintake rof rfood r
-third rspacing r(fluid rin rtissue/organs rit rshouldn't rbe) r
-diabetes rinsipidus r
-hyperglycemia r(increased rBS r= rincreased routput) r
-adrenal rinsufficiency r
-hemorrhage r(trauma)
-excessive ruse rof rdiuretics rand rlaxatives r

Signs/Symptoms:
-serum rosmolality r>300 r
-urine rspecific rgravity r>1.020 r(decreased rurine rNa) r
-decreased rurine routput r

-tachycardia, rhypotension, rtachypnea
-flattened rneck rand rhand rveins
-decreased rturgor r
-cool, rclammy rskin, rthirst r

-increased rNa, rBUN, rHct
-decreased rweight, rCVP, rI&Os

Hypovolemia r(FVD) rin rElderly r- rcorrect rAnswers r✔✔ r--higher rrisk rd/t
rdecreased rbody rmass rand rrenal rfunction rand rincreased rbody rfat r



-decreased rability rto rconcentrate rurine r(color rdoesn't rshow rgood restimate rof
rhydration) r
-decreased rcardiac rand rlung rfunction r
-disturbances rin rhormonal rfunction r
-decreased rthirst r

-confusion rand rcognitive rdysfunction r(dehydration rand rUTIs) r
-S/S rcan rbe rsubtle/asymptomatic r(check rvenous rfilling rof rhand) r
-check rturgor rby rpinching rforehead ror rsternum r(not rhand) r

*remind rto rdrink rq1hr r
*should rdrink rvariety rof rfluids rthroughout rday r(cannot rdepend ron rthirst ror rcolor rof
rurine)


UOP r(urine routput) r- rcorrect rAnswers r✔✔ r-*UOP: rshould rbe r1ml/kg/hr
r(60-80ml/hr) r

, -a rconcern rif r<= r30ml/hr

SBP r(systolic rBP) r- rcorrect rAnswers r✔✔ r-*patient rplaced ron rfall rrisk
-would rdevelop rorthostatic rhypotension rif rwith rhypovolemia r

*consider rFVD rwhen rBP rdrops rbelow rnormal rpressure

Best rIndicator rfor rFVD ror rFVE r- rcorrect rAnswers r✔✔ r-FVD:
-weight rloss r

FVE:
-weight rgain

Nursing rDiagnosis rfor rFVD r- rcorrect rAnswers r✔✔ r-Nursing rDiagnosis:
-Deficient rfluid rvolume rr/t rexcessive rfluid rloss rand/or rdecreased rfluid rintake r
-Altered rcomfort rr/t raltered rsensorium rand/or rdizziness r
-Deficient rknowledge rr/t rrisk rfactors rand rtherapeutic rinterventions r

Potential rNursing rDiagnosis:
-Risk rfor rinjury rr/t raltered rsensorium rand/or rdizziness r
-Risk rfor rimpaired rskin rintegrity rr/t rskin rand rmucous rmembrane rdryness r

Potential rComplications rNursing rDiagnosis:
-Risk rfor rhypovolemic rshock rr/t rfluid rloss rand/or rdecreased rfluid rintake r
-Risk rfor racute rrenal rfailure rr/t rFVD

Nursing rManagement rfor rFVD r- rcorrect rAnswers r✔✔ r--Assessment: rhead
rto rtoe r

-treat rand rprevent rcauses rof rFVD r
-force rfluids rand rmonitor rIVF r
-oral rcare: rdry rmouth, rcracked rlips r(mouthwash rNOT ralcohol rbased: rdry rmouth)

Treatment rfor rFVD r- rcorrect rAnswers r✔✔ r-*treat rcause rand rincrease
rintake

-PO rliquids rpreferable rif rGI rfunction ris rwithin rnormal rlimits r(help rwith rdehydrated
rmouth, rcontrol ramount rof rliquid rin) r


PO rLiquids:
-GIVE: rcommercial roral rrehydration r(pedialyte), rin rsmall ramounts, rfrequently r
-AVOID: rsoda, rcaffeine, rfruit rjuice r(increase rFVD)
-AVOID: rsports rdrinks rif rpt rhas rdiarrhea

Nutrition rwith rFVD r- rcorrect rAnswers r✔✔ r-BRAT rdiet:

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