Fluid and Electrolytes (Exam 3) Questions With Verified Answers

as blood in this type of solution, cells maintain their normal size and ther is no loss or gain of water hypotonic - answermore dilute than blood in this type of solution, cells swell rapidly and water rushes into them and they may burst hypertonic - answermore concentrated than blood in this type of solution, cells lose water and shrink Age, environment, dietary intake, lifestyle, medications (prescription, OTC, and herbal), recent surgeries or recent stressful events, GI output, acute illness or trauma, chronic illness - answerF&E Assessment: Patient Nursing and Medical History -Daily weights (use the same conditions each time, good indicator of fluid status) -Fluid I&O (24 hr Intake and output, compare the intake vs output) -Laboratory studies (diagnostic electrolyte levels) - answerName the 3 main physical assessments of F&E balance •VS: hypotension, light-headed when sitting or standing à ECV deficit •Wt: Loss or gain of 2.2 lbs in a 24 hour period à ECV deficit or excess •Pulse: rapid and thread à deficit; Bounding à excess •Neck veins: Flat à deficit; Full or distended à excess •Capillary refill: sluggish à deficit •Lungs: crackles à excess - answerWhat would you see in your assessment findings? What would that indicate? A fluid deficit or fluid excess? Nursing Diagnosis - answer-Fluid Imbalance -Dehydration -Electrolyte Imbalance -Acid Base Imbalance -Lack of Knowledge of Fluid Regimen Nursing Planning - answer-Select individualized nursing intervention to maintain or restore fluid and electrolyte balance -Consult with pharmacy, dieticians -Involve patient and family Goals and Outcomes Nursing Implementations for Fluid and Electrolyte Imbalances - answer-Health Promotion -Acute Care