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Bstrandable NCLEX Fluid and Electrolytes. Exam Questions And Correct Answers 100% Pass CA$18.42
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Bstrandable NCLEX Fluid and Electrolytes. Exam Questions And Correct Answers 100% Pass

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©BRAINBARTER EXAM SOLUTIONS 2024/2025 ALL RIGHTS RESERVED. 1 | P a g e Bstrandable NCLEX Fluid and Electrolytes. Exam 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. ...

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  • December 3, 2024
  • 223
  • 2024/2025
  • Exam (elaborations)
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  • NCLEX
  • NCLEX
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©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.




Bstrandable NCLEX Fluid and Electrolytes.
Exam 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.


Rationale 2: The risks for kidney damage are not specifically related to aging or fluid &

electrolyte issues.


Rationale 3: The risk of stroke is not specifically related to aging or fluid & electrolyte issues.


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, ©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
Rationale 4: The risk of bleeding is not specifically related to aging or fluid & electrolyte issues.


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


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.


Rationale 2: The intracellular fluid is all fluids that exist within the cell cytoplasm & nucleus.

Because this pt was severely burned, the fluid within the cells is diminished, leading to an

intracellular fluid deficit.


Rationale 3: The extracellular fluid is all fluids that exist outside the cell, including the interstitial

fluid between the cells. Because this pt was severely burned, the fluid within the cells is

diminished, leading to an intracellular fluid deficit.


Rationale 4: The extracellular fluid is all fluids that exist outside the cell, including the interstitial

fluid between the cells. Because this pt was severely burned, the fluid within the cells is

diminished, leading to an intracellular fluid deficit.

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, ©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
A pt, experiencing multisystem fluid volume deficit, has the symptoms of tachycardia, pale, cool

skin, & decreased urine output. The nurse realizes these findings are most likely a direct result

of which of the following?


1. the body's natural compensatory mechanisms


2. pharmacological effects of a diuretic


3. effects of rapidly infused intravenous fluids


4. cardiac failure - Answers✔Answer: 1




Rationale 1: The internal vasoconstrictive compensatory reactions within the body are

responsible for the symptoms exhibited. The body naturally attempts to conserve fluid

internally specifically for the brain & heart.


Rationale 2: A diuretic would cause further fluid loss, & is contraindicated.


Rationale 3: Rapidly infused intravenous fluids would not cause a decrease in urine output.


Rationale 4: The manifestations reported are not indicative of cardiac failure in this pt.


A pregnant pt is admitted with excessive thirst, increased urination, & has a medical diagnosis

of diabetes insipidus. The nurse chooses which of the following nursing diagnoses as most

appropriate?


1. Risk for Imbalanced Fluid Volume



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, ©BRAINBARTER EXAM SOLUTIONS 2024/2025

ALL RIGHTS RESERVED.
2. Excess Fluid Volume


3. Imbalanced Nutrition


4. Ineffective Tissue Perfusion - Answers✔Answer: 1




Rationale 1: The pt with excessive thirst, increased urination & a medical diagnosis of diabetes

insipidus is at risk for Imbalanced Fluid Volume due to the pt &'s excess volume loss that can

increase the serum levels of sodium.


Rationale 2: Excess Fluid Volume is not an issue for pts with diabetes insipidus, especially during

the early stages of treatment.


Rationale 3: Imbalanced Nutrition does not apply.


Rationale 4: Ineffective Tissue Perfusion does not apply


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




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