Med%20Surg%20Exam%203%20reviewMed Surg Exam 3 review
1. You are calculating a patient’s daily output, what results in water loss from GI tract?
(SATA) pg.36 vomiting or diarrhea (can cause hypokalemia and hyponatremia)
2. What does the intravascular fluid in the body do and what does it contai...
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, lOMoARcPSD|16995810
Med Surg Exam 3 review
1. You are calculating a patient’s daily output, what results in water loss from GI tract?
(SATA) pg.36 vomiting or diarrhea (can cause hypokalemia and hyponatremia)
2. What does the intravascular fluid in the body do and what does it contain?
Pg.32 fluid withing the blood vessels. Consists of plasma and fluid within blood cells.
Contains large amounts of protein and electrolytes.
3. What hormones in the body promote the loss of water and sodium ions from the kidney
tubules? (SATA) pg.32
Brain natriuretic peptide or B-type natriuretic peptide (BNP) Atrial natriuretic peptide
(ANP)
4. What is the best way to assess the fluid status of the intravascular volume?
Pg.32 monitoring the intravascular space and external signs and symptoms of too much
or too little fluid. Taking a blood and chemistry panel and blood pressure is assessed in
the vasculature.
5. What lab value would you find in a patient who has dehydration? Pg.35
Increased hematocrit, elevated temp, high urine specific gravity with low volume.
Sodium imbalance/hypernatremia
6. What would you find when you assess a patient who has fluid overload? (SATA) Pg.35
Weight gain, bradycardia, elevated BP, edema, crackles in lungs, lethargy, neck veins
when laying, decreased serum sodium, decreased hematocrit, low urine specific gravity
with high volume.
7. Your patient is taking a diuretic and they have dehydration. What finding would make
you call the doctor immediately?
The client is hypotensive. Abnormal findings for potassium, decreased hearing or ringing
in the ears.
8. If your patient is given a plasma expanding agent, what would they be deficient in?
Pg.51 plasma is given primarily to replace coagulation factors but may also be used to
increase blood volume (as in shock) and to provide protein. Plasma proteins
9. Look at the chart for pitting edema and know what each one means. Pg.40
1+ Mild pitting— 2mm. slight indentation with no perceptible swelling of the leg. 2+
Moderate pitting— 4mm. indentation subsides quickly, foot is perceived as mildly
swollen. 3+ Deep pitting— 6mm. indentation remains for a short time and leg looks
swollen. 4+ Very deep pitting— 8mm. indentation lasts for a long time and leg is very
swollen.
10. Your patient is given an IV fluid without electrolytes. What solution would you give
them? Pg.53
Dextrose in water
11. Your patient overuses antacids. What electrolyte disturbance are they at risk for? Pg.46
Hypermagnesemia
12. What acid base imbalance would you find in a patient's blood gas if they have short and
shallow breathing? Pg.48
Respiratory Acidosis
13. What is an acute respiratory event that has deoxygenated blood returning to the left
side of the heart? Pg.266-267 box 12.1
Downloaded by DANIEL NDAMBIRI (ndambiridaniel20@gmail.com)
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