Exam (elaborations)
NR228 Edapt Water and Wellness GRADED A PASS 2023
NR228 Edapt Water and Wellness GRADED A PASS 2023
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NR228 Edapt Water and Wellness GRADED A PASS2023
2023 2
The 3 major compartments that contain fluid in the body are _____and _____
. The body maintains a state of ______ by shifting fluid between these three
compartments. The major electrolytes responsible for shifting fluid between
compartments are_______ and ______
An increase in sodium intake can result in _______While a dry mouth is a symptom of
______ - ANSWER intravascular, intracellular, interstitial,
homeostasis, sodium, potassium fluid volume excess,
fluid volume deficit
The 3 major compartments that contain fluid in the body are intravascular, interstitial,
and, intracellular. The body maintains a state of homeostasis by shifting fluid between
these three compartments. The major electrolytes responsible for shifting fluid between
compartments are sodium and potassium.
An increase in sodium intake can result in fluid volume excess. While a dry mouth is a
sign and symptom of fluid volume deficit.
The community-based living center had a water filtration unit installed. Which sodium
sensitive client should the nurse carefully observe? Select all that apply. - ANSWER The
client with a medical history of bi-polar disorder takes lithium 300 mg TID.
The client with a medical history of congestive heart failure.
, The nurse should closely monitor the client with congestive heart failure and the client
taking lithium. Because the water filtration system will increase the amount of sodium in
the water and these clients would be adversely affected by the increased sodium intake.
Increased sodium will cause the congestive heart failure patient to retain water and
become fluid overloaded, while the client who takes lithium is at risk for decreased
therapeutic drug levels due resulting from the increased sodium intake.
Although all individuals should monitor their sodium intake, the clients with diabetes, a
healthy pregnancy, and a history of pressure ulcers are not at risk for being impacted by
the low amount of sodium added to their water by the filtration system.
When discussing outcomes of care with an adult client recovering from fluid volume deficit
(FVD), the nurse explains that the client should see what indicators that their condition is
improving? Select all that apply. - ANSWER Increased urine output
Light colored urine
Decreased thirst
When assessing a 2-year-old whose parent reports "something is not quite right" the nurse
associates which assessment findings with fluid volume excess? Select all that apply. -
ANSWER Distended abdomen Dyspnea weight gain
Mr. Smith is being discharged home on a low sodium diet. Which statement made by this
client indicates that additional education on preventing fluid volume excess is needed? -
ANSWER I will eat pretzels instead of salted nuts
The nurse is caring for several residents in a skilled nursing facility. New protocols were
put in place to reduce the instances of dehydration in the residents. Which client will the
nurse closely assess for dehydration? - ANSWER The client who has lost three pounds in a
day and has dry lips
An older adult who is normally alert and oriented has become increasingly confused for
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