NR324 Exam 1 QUESTIONS
AND VERIFIED ANSWERS
100% GUARANTEED PASS
Which lab results indicate fluid deficit? - correct answer H&H increased
BUN increased
Urine Specific Gravity elevated
Serum sodium elevated
Blood osmolality increased
Fluid imbalance neuro interventions - correct answer Monitor LOC
Monitor vitals & labs for signs of imbalance
Take seizure precautions
Administer anti-seizure meds prn
Fluid imbalance cardiovascular interventions - correct answer Monitor BP, HR, & CO
Check 12-lead ECG
Check B-type natriuretic Peptide (BNP) level
Administer diuretics as rx's and monitor electrolytes before and after administration
Administer IV fluids if blood or fluid is lost from intravascular compartment
Fluid imbalance vascular interventions - correct answer Assess pitting & non-pitting edema
Assess the extremity by using the six P's (pulselessness, pain, poikilothermic, paresthesia,
paralysis, & pallor)
, Elevate the extremity with edema using at least 2 pillows
Apply anti-embolic stockings & SCDs
Administer diuretics as needed
What should be given to a client with fluid volume excess and acute renal insufficiency? -
correct answer angiotensin-converting enzyme (ACE) inhibitors
or
Temporary dialysis to prevent further kidney damage
Describe how pitting edema is assessed - correct answer Apply pressure to the swollen area &
check to see if indentation is left
0+ no edema
1+ mild pitting edema - 2 mm depressions disappear rapidly
2+ moderate pitting edema - 4 mm depressions disappears in 10-15 seconds
3+ moderately severe pitting edema - 6 mm depression may last longer than 1 minute
4+ severe pitting edema - 8 mm depression may last longer than 2 minutes
Fluid imbalance respiratory interventions - correct answer Elevate HOB to 45-90 degrees - semi-
to high - Fowler's position)
Monitor RR, breathing pattern, and 02 sat
Check ABGs
Administer o2 as needed
The client with fluid volume deficit has been receiving 0.9% sodium chloride IV infusion at 150
ml/hr for the past 4 hours. Which assessment finding indicates that the client is developing fluid
volume overload? - correct answer Crackles heard with auscultation of the lower lung fields
Fluid imbalance GI interventions - correct answer Monitor intake & output
AND VERIFIED ANSWERS
100% GUARANTEED PASS
Which lab results indicate fluid deficit? - correct answer H&H increased
BUN increased
Urine Specific Gravity elevated
Serum sodium elevated
Blood osmolality increased
Fluid imbalance neuro interventions - correct answer Monitor LOC
Monitor vitals & labs for signs of imbalance
Take seizure precautions
Administer anti-seizure meds prn
Fluid imbalance cardiovascular interventions - correct answer Monitor BP, HR, & CO
Check 12-lead ECG
Check B-type natriuretic Peptide (BNP) level
Administer diuretics as rx's and monitor electrolytes before and after administration
Administer IV fluids if blood or fluid is lost from intravascular compartment
Fluid imbalance vascular interventions - correct answer Assess pitting & non-pitting edema
Assess the extremity by using the six P's (pulselessness, pain, poikilothermic, paresthesia,
paralysis, & pallor)
, Elevate the extremity with edema using at least 2 pillows
Apply anti-embolic stockings & SCDs
Administer diuretics as needed
What should be given to a client with fluid volume excess and acute renal insufficiency? -
correct answer angiotensin-converting enzyme (ACE) inhibitors
or
Temporary dialysis to prevent further kidney damage
Describe how pitting edema is assessed - correct answer Apply pressure to the swollen area &
check to see if indentation is left
0+ no edema
1+ mild pitting edema - 2 mm depressions disappear rapidly
2+ moderate pitting edema - 4 mm depressions disappears in 10-15 seconds
3+ moderately severe pitting edema - 6 mm depression may last longer than 1 minute
4+ severe pitting edema - 8 mm depression may last longer than 2 minutes
Fluid imbalance respiratory interventions - correct answer Elevate HOB to 45-90 degrees - semi-
to high - Fowler's position)
Monitor RR, breathing pattern, and 02 sat
Check ABGs
Administer o2 as needed
The client with fluid volume deficit has been receiving 0.9% sodium chloride IV infusion at 150
ml/hr for the past 4 hours. Which assessment finding indicates that the client is developing fluid
volume overload? - correct answer Crackles heard with auscultation of the lower lung fields
Fluid imbalance GI interventions - correct answer Monitor intake & output
