ALL RIGHTS RESERVED.
lungs. Hyperventilation will not affect the amount of fluid lost through the urine, sweat, or
feces.
The nurse is completing a physical assessment with a client. On which part of the body should
the nurse focus when determining fluid and electrolyte status? (Select all that apply.) -
Answers✔Rationale: Physical assessment for fluid and electrolyte status focuses on the skin,
oral cavity and mucous membranes, eyes, cardiovascular and respiratory systems, and
neurologic and muscular status. The ears and endocrine system are not a focus of fluid and
electrolyte status assessment.
The nurse is determining a client's fluid balance. Which method should the nurse use to identify
this client's fluid volume excess or deficit? - Answers✔Rationale: Daily weight is the best
indicator of fluid volume excess or deficit. Skin turgor, blood pressure, and intake and output
are assessments that would be included in the care of a client with fluid imbalances, but daily
weight is the best indicator of changes in fluid status.
The nurse is performing an assessment on a client with fluid volume excess. Which finding
should the nurse identify that supports fluid volume excess? (Select all that apply.) - Answers✔
Rationale: Pitting edema, weight gain, and crackles in the lungs upon auscultation are indicative
of fluid volume excess. Tenting of skin and thirst are found in fluid volume deficit.
The nurse is assessing a client with fluid volume deficit. Which finding should the nurse identify
that supports fluid volume deficit? - Answers✔Rationale: Increased hematocrit is a finding
3|Page
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Brainbarter. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
