Exam (elaborations)
CSUSM NURS 316 Exam Questions And Correct Answers
- Course
- Institution
CSUSM NURS 316 Exam Questions And Correct Answers...
[Show more]
Content preview
CSUSM NURS 316 Exam Questions And Correct AnswersName isotonic solutions - ANSWER .9 NS, D5W, Lactated Ringer's (LR), Ringer's
Solution
Name Hypotonic Solutions - ANSWER 0.45% NaCl(1/2NS), 0.33% NaCl, 0.225 NaCl, 2.5%
Dextrose in water
Name hypertonic solutions - ANSWER 3% NaCl, Mannitol, D10W, D20W, D50W
What is an isotonic solution? - ANSWER same tonicity as blood, it does not cause a shift
in fluids. Often used as bloodstream volume expander.
What is a hypotonic solution? - ANSWER This has fewer particles and more water than
blood and body fluids. Causing a shift from ECF to ICF to deliver water to the body as a
dehydration treatment.
What is a hypertonic solution? - ANSWER A solution containing more particles and less
water than blood and body fluids. Fluids shift from ICF to ECF causing the body cell to
shrink.
What is a major ion in ECF? - ANS Sodium
It's a major determinant of ECF osmolarity and helps in the maintenance of fluid balance
and osmotic pressure.
What is a major ion in the ICF? - ANS Potassium
It helps in the maintenance of neuromuscular excitability and acid base balance.
What is the normal sodium range? - ANS 135-145 mEq/L
,What are the causes of Hyponatremia? - ANS A: adrenal insufficiency
I: intoxication
D: diuretics
S: SIADH
*also diabetes, diarrhea, vomiting, diaphoresis, fistulas, burns
What are S/S of Hyponatremia? - ANSWER S: stupor/coma
A: anorexia (N/V)
L: Lethargy
T: Tachycardia, tendon reflexes decreased
L: Limp muscles
O:orthostatic hypotension
S: Seizures/HA
S: Stomach cramping, shallow and ineffective breathing
What are nursing interventions for Hyponatremia? - ANSWER D: diet, increase salty
foods, such as, soy sauce, bacon, cheese
R: Restrict fluids
A: Administer IV hypertonic solution
W: Daily weight
I: Measure I/O (strict?)
T: Thiazide diuretics
*Monitor cardio, respiratory, neuromuscular, GI, and renal status
, *If client takes lithium, monitor Li level because hyponatremia can diminsh Li excretion
resulting in toxicity
What are causes of Hypernatremia? - ANSWER D: deprivation (fluid)
I: IV hypertonic solution excess
V:Vitamin
A: Increase in Sodium intake
M:Medications, meals with high sodium
O: Osmotic diuretics
D:Diabetes insipidus
E: Elevated water loss
L: lower water loss
*kidney disease, corticosteroids, cushing's syndrome, hyperaldosteronism
What are S/S of hypernatremia? - ANSWER F: fever (low grade), flushed skin
R:restless (irritable)
I: increase fluid restriction and elevated BP
E: Edema (peripheral and pitting)
D: decrease urinary output, dry mouth
E: muscle twitching and irregular muscle contractions
L: skeletal muscles weakness, decrease or absent DTR
*extreme thirst
What are nursing interventions for hypernatremia? - ANSWER M: monitor sodium intake
and labs
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 Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
84866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now