Fluid, Electrolyte, and Acid-Base Imbalances: Chapter 1: Fluid Volume Excess Flashcards

A nurse preparing to assess pediatric clients on a step down unit should know that, compared with an adult, an infant has which amount of fluid per total body weight?

A nurse is caring for a client diagnosed hyperaldosteronism. How does aldosterone help regulate sodium and fluid balance?

A medical-surgical nurse attends an inservice presentation on fluid and electrolyte imbalances. The nurse should recall that the regulators of fluid balance include which substances? Select all that apply.

A nurse administers captopril (Capoten) to a client with FVE. The nurse understands that this medication will affect the client's fluid balance by decreasing which of these options?

Which meal option should a nurse choose for a client with fluid volume excess (FVE) who is placed on a low-sodium diet?

A nurse is caring for a client diagnosed with congestive heart failure (CHF) secondary to fluid volume excess (FVE). Which factors, if exhibited by the client, should the nurse associate with FVE? Select all that apply.

An older adult client presents to a clinic reporting fatigue, shortness of breath, and restlessness. A nurse assesses the client suspecting fluid volume excess (FVE). Which manifestations, if identified during assessment, should the nurse associate with FVE? Select all that apply.

A nurse assesses a 1-year-old infant hospitalized for syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding should the nurse identify as the most reliable indicator of fluid retention in an infant?

A client diagnosed with renal failure experiences an increase of 2% in total body weight over a 48-hour period. How should a nurse classify this increase in weight?

A nurse is recording intake and output for an adult client. The client reports consuming a 600 mL soft drink out of a bottle, has received 500 mL of IV fluids, and has voided 350 mL of urine. Determine the client's intake in milliliters. Record your answer as a whole number. _______

A 185-pound male client with moderate fluid volume excess (FVE) gains 5% of his total body weight over a 2-day period. How many kilograms of weight did the client gain? Record your answer using one decimal place. _______

A health-care provider orders hydrochlorothiazide 3 mg/kg/day in two divided doses by mouth for a 46-pound child with edema secondary to congestive heart failure (CHF). How many milligrams of hydrochlorothiazide should a nurse administer to this child every 12 hours (twice daily)? Record your answer using one decimal place. _______

A health-care provider orders hydrochlorothiazide oral solution 2 mg/kg/day in two divided doses for a 36-pound child with edema secondary to congestive heart failure (CHF). The dose on hand is 10 mg/mL. How many milliliters should a nurse administer to this child every 12 hours? Record your answer using one decimal place. _______

A health-care provider orders spironolactone (Aldactone) 400 mg/day in two divided doses by mouth for a client diagnosed with primary hyperaldosteronism. The dose of spironolactone on hand is 50 mg/tablet. How many tablets should a nurse administer to the client every 12 hours? Record your answer as a whole number. _______

A nurse reviews the laboratory report of an adult client who has been taking furosemide (Lasix) alone for the treatment of fluid volume excess (FVE). Which serum potassium level should the nurse anticipate?

A nurse is counseling an obese client who is considering gastric bypass surgery. When discussing the client's risk for fluid and electrolyte imbalances, which information should the nurse teach this client?

A nurse assesses a 3-day-old infant who has had difficulty latching onto its mother's breast. Worrying that her baby is not getting enough to drink, the mother has been giving the infant water from a bottle. Other than an increased intake of water, which factor should the nurse identify as predisposing this infant to fluid imbalances?

A nurse is assessing the lungs of a client admitted with gastrointestinal bleeding who is receiving a second unit of blood. The nurse auscultates bilateral crackles in the lower bases of the lungs. The previous nurse had reported clear lung sounds on this client. Which actions should the nurse take immediately? Select all that apply.

A nurse administers digoxin and a loop diuretic to a client diagnosed with fluid volume excess (FVE) related to congestive heart failure (CHF). Why should the nurse identify this client as being at an increased risk for digoxin toxicity?

A nurse administers digoxin to an older adult client diagnosed with atrial fibrillation and systolic heart failure. In addition to administering digoxin to treat the atrial fibrillation, for which other reason should the nurse administer digoxin to this client?

A nurse collects data from a client who is receiving digoxin. Which manifestations, if reported by the client, should the nurse associate with the development of digoxin toxicity?

A nurse is reviewing a client's laboratory data. Which laboratory result should the nurse associate with the development of fluid volume excess (FVE)?

A nurse is preparing to transfuse two units of packed red blood cells to a client with a history of congestive heart failure (CHF). Which infusion rate should the nurse use when performing this infusion?

A nurse is caring for a client who has a history of multiple chronic illnesses. Which illness should the nurse identify as placing the client at greatest risk for fluid volume excess (FVE)?

A nurse evaluates a client who received diuretic therapy for fluid volume excess (FVE). Which finding should indicate to the nurse that the therapy has been effective?

After an initial assessment, a nurse suspects that a client has fluid volume excess (FVE) related to left-sided heart failure. Which assessment finding most likely caused the nurse's suspicion?

When teaching a client who is taking long-term corticosteroid therapy, which statement by the nurse is correct?

A nurse is planning care for a client on fluid restriction because of fluid volume excess (FVE). When caring for the client, which solution should the nurse use when diluting the client's medications?

A nurse is preparing to infuse 0.9% normal saline solution intravenously to an infant. To prevent fluid volume excess (FVE), what is the safest way for the nurse to implement this order?

A nurse evaluates a client being treated for fluid volume excess (FVE). The nurse determines that the client's FVE has not resolved as evidenced by which finding?

A client, who is on fluid restriction because of acute renal failure, reports discomfort, thirst, and an extremely dry mouth. The client asks a nurse why it is necessary to limit fluids when "I already feel so dry." Which response by the nurse is most appropriate?

A nurse evaluating education for a client with fluid volume excess (FVE) determines that the client has demonstrated adequate understanding of the teaching after which statement by the client?

A nurse is developing a care plan for a client with fluid volume excess (FVE) and pitting edema. Based on this information, which nursing diagnosis should the nurse include in this client's care plan?

A nurse is caring for an older adult client who is experiencing a fluid imbalance. Which age-related changes should the nurse associate with fluid imbalance in an older adult? Select all that apply.

A health-care provider orders a 100-mg IV bolus of furosemide (Lasix) for a client diagnosed with fluid volume excess (FVE). To administer this medication safely, which action should the nurse take?

A nurse is educating a client regarding a prescribed loop diuretic. Which instructions should the nurse include in the client's education? Select all that apply.

When evaluating a client's education regarding furosemide (Lasix), which client statement demonstrates an understanding of the potential side effects of loop diuretics?

A client's IV solution of dextrose 5% in normal saline solution with 20 mEq potassium chloride per liter is infusing at 150 mL/hr as ordered. After 4 hours of infusion, the client begins to report shortness of breath and develops a cough. Which intervention should be the nurse's priority?

A client develops moist crackles and dyspnea while receiving an IV infusion at 150 mL/hr. Based on this information, which intervention should be a nurse's first priority?

A medical resident writes orders for a client diagnosed with hypervolemia. Which orders should a nurse question? Select all that apply.

A nurse performing a client assessment suspects the client has fluid volume excess (FVE) related to right-sided heart failure. Which finding, if identified in this client, should the nurse associate with the development of right-sided heart failure?

A nurse is evaluating education for a client with fluid volume excess (FVE). Which statement by the client should indicate to the nurse that the client needs additional education?

A nurse observes an older adult client who is developing edema because of right-sided heart failure. Without intervention, which physiological events are likely to occur in the development of edema in this client? Order each event in the correct sequence

A registered nurse (RN) is assigned to care for the following clients. Which client would be most appropriate for the RN to delegate to the licensed practical nurse (LPN)?

A nurse assesses the edematous extremities of a 6-month-old client. The nurse should document that the client has which grade of edema with a 6 mm indention?