EDAPT Nursing Care: Complex Fluid Balance Alterations – Comprehensive Exam Questions with Answers Graded A+ Latest Updated 2026

EDAPT Nursing Care: Complex Fluid Balance Alterations – Comprehensive Exam Questions with Answers (Hypovolemia, Fluid Overload, Hemodynamic Monitoring, ARDS & CRRT) The nurse is caring for a client experiencing hypovolemia. Which action will support an increased preload and improve cardiac output? Administer intravenous bolus 0.9% normal saline. The nurse is caring for a client diagnosed with acute respiratory distress syndrome (ARDS). Which factor contributes to fluid retention during mechanical ventilation? Decreased renal perfusion with release of renin. An older adult client with severe dehydration is admitted to the intensive care unit (ICU) after being found unconscious on the floor of the home. The provider orders intravenous administration of D5W at 200 ml/hour to treat hypovolemia. Several hours after the infusion is started, the client has a generalized seizure. Which statement most accurately describes the cause of the seizure? Administration of sodium-free fluids causes cerebral cellular swelling. The __________ gland is responsible for the production and release of antidiuretic hormone (ADH). ADH causes renal cells to __________ water. This action __________ urine output, concentrating the urine while diluting the __________. In fluid volume deficit, urine specific gravity is __________ and in fluid volume overload, urine specific gravity is __________. A medication given as a replacement for ADH is __________. Pituitary Reabsorb Decreases Blood Increased Decreased Desmopressin The nurse obtains hemodynamic measurements which reveal: Central venous pressure (CVP) 9 mmHg Pulmonary artery wedge pressure (PAWP) 17 mmHg Which findings should the nurse anticipate? Select all that apply. Hepatomegaly Jugular vein distention Bilateral crackles in the lungs A nurse is caring for a client who is to have a line placed for hemodynamic monitoring. Which statement by the nurse indicates an understanding of the procedure? "A chest x-ray may be needed to confirm line placement." The nurse is caring for a client with an arterial line. To reduce the risk of complications, which is the priority nursing action? Ensure all tubing connections are secure. Continuous renal replacement therapy (CRRT) is often preferred for critically ill clients with fluid volume overload. Why is CRRT preferred over intermittent hemodialysis (IHD)? IHD can lead to severe hemodynamic instability. At 1300, a 72-year-old man is admitted to the intensive care unit (ICU) with a diagnosis of congestive heart failure. Which three assessment findings are the nurse's top priority? Dyspnea Bilateral lower lobe crackles Urinary output 28 ml in the past hour Assessment findings indicate that the client is in __________. The nurse determines that the most likely diagnosis is __________ due to __________. The client's confusion and restlessness are caused by decreased __________. Decreased urinary output indicates __________ due to __________ cardiac output. Fluid volume overload Pulmonary edema Left-side heart failure Oxygenation Renal compromise Decreased At 1400, the client's dyspnea has worsened and urine output is 20 ml for the past hour. A pulmonary artery catheter is inserted for hemodynamic monitoring. Based on the client's history, which readings does the nurse anticipate? Select all that apply. C