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NUR 229 Exam 4 Practice Questions and Correct Answers £7.38   Add to cart

Exam (elaborations)

NUR 229 Exam 4 Practice Questions and Correct Answers

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  • Module
  • NUR 229
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  • NUR 229

Why are infants and older adults at higher risk for fluid volume deficiencies? Infants have more ECF than ICF (think about infants with diarrhea or diaphoresis) Older adults have a loss of muscle tone and SubQ tissue (dehydration is a concern) A healthy person consists of how much water (%)? 50-60...

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  • September 17, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 229
  • NUR 229
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NUR 229 Exam 4 Practice Questions and
Correct Answers
Why are infants and older adults at higher risk for fluid volume deficiencies? ✅Infants
have more ECF than ICF (think about infants with diarrhea or diaphoresis)
Older adults have a loss of muscle tone and SubQ tissue (dehydration is a concern)

A healthy person consists of how much water (%)? ✅50-60

Recommended daily fluid intake ✅2400-2500 mL

Normal Sodium range ✅135-145

Hyponatremia S&S ✅Increased intercranial pressure, lethargy, seizures, hemiparesis,
muscle twitching, edema

Hypernatremia S&S ✅Restlessness, weakness, disorientation, delusions,
hallucinations

Normal potassium range ✅3.5-5.0

Hypokalemia S&S ✅muscle weakness, leg cramps, paresthesia, dysrhythmias

Hyperkalemia S&S ✅TOO MUCH STOPS THE HEART
Skeletal muscle weakness, fatigue, tingling, paralysis, dysrhythmias

Calcium normal range ✅8.6-10.2

Hypocalcemia S&S ✅Numbness/tingling of feet/mouth, tetany (tap cheek test), muscle
cramps, seizures

Hypercalcemia S&S ✅N/V/C, excessive urination, confusion, lethargy, slurred speech

Magnesium normal range ✅1.3-2.3

Chloride normal range ✅96-106

Triad of 3 Concept ✅Low sodium often means low chloride, which can also affect
potassium, calcium, and magnesium

(Mg affects K absorption)

, Nursing Interventions for excess fluid volume ✅Fluid restriction
Avoid salty snacks to prevent thirst

Clear Liquid Diet foods ✅Ice chips, jello, popsicles, tea

Full liquid diet foods ✅Ice cream, soups (she said tomato soup specifically)

Effect of Angiotensin II ✅vasoconstriction
Increased BP

Effect of Aldosterone ✅Retention of Na and Water
Increased BP

S/S of right sided HF ✅Viscera and peripheral congestion
JVD
Edema
Hepatomegaly
Ascites
Weight gain

Left sided HF ✅Pulmonary congestion
S3 (ventricular gallop)
Dyspnea on exertion
Low O2 sat
Dry, nonproductive cough
Oliguria

How much weight gain in HF patient is too much ✅2-3 pounds in a day or 5 pounds in
one week
Notify provider

Recommended sodium intake ✅2000-2300 mg

Foods to be avoided in DASH (low sodium) diet ✅Processed food, fried food, canned
soup, condiments, dressing

What electrolyte should be monitored if a patient is on diuretics? ✅Potassium

Effects of Digitalis ✅Improves contractility

Nursing Assessments prior to giving digitalis ✅Assess for bradycardia, monitor apical
pulse for one minute

Best position for PT with HF ✅High fowler (upright)

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