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NUR 120 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTIONS 100% GUARANTEED PASS (LATEST UPDATE)

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NUR 120 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTIONS 100% GUARANTEED PASS (LATEST UPDATE)NUR 120 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTIONS 100% GUARANTEED PASS (LATEST UPDATE)NUR 120 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTIONS 100% GUARANTEED PASS (LATEST UPDATE)NUR 120 ...

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  • December 12, 2024
  • 19
  • 2024/2025
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  • Questions & answers
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DoctorKen
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NUR 120 FINAL EXAM QUESTIONS WITH CORRECT
VERIFIED SOLUTIONS 100% GUARANTEED PASS
(LATEST UPDATE)



hypotonic solution (usually above 0.30%) - ANS ✓why? treat cellular

dehydration

Who gets? Diabetic ketoacidosis or hypernatremia

when? Dehydration

Moves fluid into cells (rehydrate cells)

What to be mindful of? Too much can cause cerebral edema (too much fluid

moving into the cells)



Hypertonic solutions (solutions don't exceed 30% and have Ws labeled on

them) - ANS ✓why? Makes it easier for kidney to remove excess water, decrease

BP

Who gets? hyperkalemia

When? Low BP, heavy fluid loss, too much potassium so they need sodium

(hyponatremia), diabetes, CKD, liver cirrhosis



Pts that get hypertonic solutions - ANS ✓-low bp

-heavy fluid loss

-too much potassium (needing sodium)


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-frequent vomit/diarrhea

-Diabetes, CKD, liver cirrhosis

-burns/wounds



Pts that get hypotonic solutions - ANS ✓Heart failure

diarrhea/vomit

hyponatremia (low sodium in blood)



Pt is hypovolemic with low blood volume inside the body. What solution to

give? - ANS ✓solution to give: isotonic bc no indication for fluid electrolyte

imbalance.



Hypervolemia - ANS ✓Too much fluid in ECF

- can result from too much salt, Kidney disease or liver, or poor pumping by

heart.

s/s: HTN, bounding pulse, tachycardia, shallow tachypnea, cool/pale skin,

distended neck veins, edema, weight gain (rapid onset)

Severe fluid overload: crackles, dyspnea, ascites

LABS: decrease in BUN, hematocrit, and specific gravity

Nurse implications: monitor I/Os, daily weight



Hypovolemia - ANS ✓Too little fluid in ECF (Dehydration)




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, 3
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causes: insufficient fluid intake, fluid loss (d/t bleeding, vomit, diarrhea), fluid

shifts

s/s: low BP, weak pulse, orthostatic hypotension, dry mucous membranes,

decreased urine output, tachycardia, increased thirst, fatigue/ muscle weakness

Labs: elevated BUN, hematocrit, specific gravity



Hypokalemia values below 3.5 (normal is 3.5-5) - ANS ✓low potassium in the

blood

Causes: GI loss, diuretics, steroids, hyperaldosteronism, anorexia/bulimia

s/s: muscle cramping, cardiac arrhythmias, small T waves, muscle weakness,

hypoactive bowel sounds, bradycardia, decreased GI motility

Treatment: increase dietary intake of potassium such as avocados, bananas,

spinach, potato, oral potassium supplement, IV potassium slowly!!!



Hyperkalemia values above 5 (normal is 3.5-5) - ANS ✓excessive potassium

in the blood

Causes: renal failure, K-sparing diuretics, diet, acidosis

s/s: cardiac arrhythmias, tall tented T-waves, muscle pain/cramps, flaccid

paralysis, chest pain, heart palpitations, SOB, muscle tingling

Treatment: decrease potassium rich foods, diuretics but be mindful of fluid

overload and dehydration, monitor I/Os



Hypernatremia (135 to 145) - ANS ✓too much salt in blood


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