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2204 Fluid & Electrolyte NCLEX Practice Questions And Correct Answers 100% Pass $12.49
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2204 Fluid & Electrolyte NCLEX Practice Questions And Correct Answers 100% Pass

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©BRAINBARTER EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 1 | P a g e 2204 Fluid & Electrolyte NCLEX Practice Questions And Correct Answers 100% Pass What is the nurse's primary concern regarding fluid & electrolytes when caring for an elderly pt who is intermittently confused? 1. risk of ...

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  • December 3, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCLEX
  • NCLEX
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©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.




2204 Fluid & Electrolyte NCLEX Practice
Questions And Correct Answers 100% Pass


What is the nurse's primary concern regarding fluid & electrolytes when caring for an elderly pt

who is intermittently confused?


1. risk of dehydration


2. risk of kidney damage


3. risk of stroke


4. risk of bleeding - Answers✔Answer: 1




Rationale 1: As an adult ages, the thirst mechanism declines. Adding this in a pt with an altered

level of consciousness, there is an increased risk of dehydration & high serum osmolality.


The nurse is planning care for a pt with severe burns. Which of the following is this pt at risk for

developing?


1. intracellular fluid deficit


2. intracellular fluid overload


1|Page

, ©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
3. extracellular fluid deficit


4. interstitial fluid deficit - Answers✔Answer: 1




Rationale 1: Because this pt was severely burned, the fluid within the cells is diminished,

leading to an intracellular fluid deficit.


A pt recovering from surgery has an indwelling urinary catheter. The nurse would contact the

pt's primary healthcare provider with which of the following 24-hour urine output volumes?


1. 600 mL


2. 750 mL


3. 1000 mL


4. 1200 mL - Answers✔Answer: 1


Rationale 1: A urine output of less than 30 mL per hour must be reported to the primary

healthcare provider. This indicates inadequate renal perfusion, placing the pt at increased risk

for acute renal failure & inadequate tissue perfusion. A minimum of 720 mL over a 24-hour

period is desired (30 mL multiplied by 24 hours equals 720 mL per 24 hours).


A pt is receiving intravenous fluids postoperatively following cardiac surgery. Nursing

assessments should focus on which postoperative complication?


1. fluid volume excess


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, ©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
2. fluid volume deficit


3. seizure activity


4. liver failure - Answers✔Answer: 1


Rationale 1: Antidiuretic hormone & aldosterone levels are commonly increased following the

stress response before, during, & immediately after surgery. This increase leads to sodium &

water retention. Adding more fluids intravenously can cause a fluid volume excess & stress

upon the heart & circulatory system.


Rationale 2: Adding more fluids intravenously can cause a fluid volume excess, not fluid volume

deficit, & stress upon the heart & circulatory system.


Rationale 3: Seizure activity would more commonly be associated with electrolyte imbalances.


Rationale 4: Liver failure is not anticipated related to postoperative intravenous fluid

administration.


A pt is diagnosed with severe hyponatremia. The nurse realizes this pt will mostly likely need

which of the following precautions implemented?


1. seizure


2. infection


3. neutropenic


4. high-risk fall - Answers✔Answer: 1


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