NUR-227 PEDS TEST 2 (Fluids and Electrolytes in Pediatric Nursing (Sherpath) Exam.
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EECF
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EECF
NUR-227 PEDS TEST 2 (Fluids and Electrolytes in Pediatric Nursing (Sherpath) Exam.
In isotonic dehydration the greatest fluid loss is from the ECF. The nurse understands that this fluid loss from the ECF can result in which manifestation?
Hypovolemic shock
Hypervolemia
Hypervolemic shock
Ede...
NUR-227 PEDS TEST 2 (Fluids and
Electrolytes in Pediatric Nursing
(Sherpath) Exam.
In isotonic dehydration the greatest fluid loss is from the ECF. The nurse understands that this fluid loss
from the ECF can result in which manifestation?
Hypovolemic shock
Hypervolemia
Hypervolemic shock
Edema - CORRECT ANSWER Hypovolemic shock
Hypovolemic shock is the greatest threat from isotonic dehydration.
Which of the following statements regarding hypertonic (hypernatremic) dehydration is correct?
Select all that apply.
Fluids shift from ICF to ECF.
Fluids shift from ECF to ICF.
ICF is more concentrated than ECF.
Seizure monitoring should be implemented.
Serum sodium level is above normal limits. - CORRECT ANSWER Fluids shift from ICF to ECF.
In hypertonic dehydration, fluid shifts from ICF to ECF.
Seizure monitoring should be implemented.
Severe symptoms, such as seizures, neurological disturbances, and cerebral changes, should be
monitored in hypertonic dehydration.
Serum sodium level is above normal limits.
In hypertonic dehydration, the sodium concentration is greater than 150 mEq/L.
, After obtaining an ECG on a child admitted for dehydration, the nurse notices a decreased ST segment
along with a flattened T wave. What lab value would be the cause of this finding?
Sodium level of 136
Potassium level of 5.6
Potassium level of 2.2
Calcium level of 10.0 - CORRECT ANSWER Potassium level of 2.2
Hypokalemia (normal potassium levels are 3.5 to 5.1) will present with these types of ECG findings
Which is the main element behind the cause of dehydration?
Calcium
Sodium
Potassium
Magnesium - CORRECT ANSWER Sodium
Sodium is the main component behind dehydration; therefore, the types of dehydration are based on
the levels of sodium.
A client has +3 pitting edema in the legs and potassium of 2.3 mEq/L. The nurse should anticipate which
order from the health care provider?
Diuretic
IV fluids
Exchange resin
IV insulin - CORRECT ANSWER Diuretic
Due to the extreme +3 pitting edema, the health care provider will most likely prescribe a diuretic to
help move the fluid back into the cells.
The nurse is admitting a 2-year-old for dehydration. What nursing interventions should the nurse
implement for a patient with an electrolyte imbalance?
Select all that apply.
Monitor intake and output.
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