HESI Fluid Balance Case Study Questions
and answers
Since the client has a fluid volume deficit, the nurse anticipates a decrease in
which vital sign when she changes position? - ANSWER-Blood pressure.
-
Fluid volume deficit often causes orthostatic hypotension and tachycardia.
Because the client may experience dizziness with orthostatic hypotension, the
nurse should take additional safety precautions during this assessment.
The nurse plans to assess the client for orthostatic vital sign changes. Which action
will the nurse take first? - ANSWER-Position the client in a supine position.
-
Orthostatic vital signs are measured in each position: lying, sitting, and standing.
The client's vital signs are first assessed in the supine position so that changes that
occur when the client sits and stands can be determined.
The nurse takes the first blood pressure measurement. After recording the first
blood pressure measurement, what action will the nurse take? - ANSWER-Count
the client's radial pulse rate.
-
Both the blood pressure and pulse rate are typically measured in each position:
lying, sitting, and standing.
, Which problem often occurs in older clients and may have contributed to the fluid
volume deficit the client is experiencing? - ANSWER-Decreased hepatic blood
flow.
-
Decreased hepatic blood flow commonly occurs in older clients. This decreases
drug metabolism, which allows drugs to remain in the body longer and produces a
greater drug effect.
Which lab test will the nurse monitor to determine if this may be a factor
contributing to the client's problem? - ANSWER-Serum protein.
-
Drug molecules may be distributed throughout the body bound to plasma protein
molecules. A decrease in serum protein levels is an indication that there may be
an increase in free, unbound drug molecules in the bloodstream.
Which labs would the nurse expect the Healthcare Provider (HCP) to order?
(Choose all that apply.) - ANSWER-BUN, Serum creatinine, Urine specific gravity
and osmolality, Liver function panel
-
For ongoing evaluation of the client's fluid volume status, which assessment data
is most important to obtain? - ANSWER-Body weight.
-
Daily weights provide the most important data about fluid volume status, so an
initial weight upon admission must be obtained.
and answers
Since the client has a fluid volume deficit, the nurse anticipates a decrease in
which vital sign when she changes position? - ANSWER-Blood pressure.
-
Fluid volume deficit often causes orthostatic hypotension and tachycardia.
Because the client may experience dizziness with orthostatic hypotension, the
nurse should take additional safety precautions during this assessment.
The nurse plans to assess the client for orthostatic vital sign changes. Which action
will the nurse take first? - ANSWER-Position the client in a supine position.
-
Orthostatic vital signs are measured in each position: lying, sitting, and standing.
The client's vital signs are first assessed in the supine position so that changes that
occur when the client sits and stands can be determined.
The nurse takes the first blood pressure measurement. After recording the first
blood pressure measurement, what action will the nurse take? - ANSWER-Count
the client's radial pulse rate.
-
Both the blood pressure and pulse rate are typically measured in each position:
lying, sitting, and standing.
, Which problem often occurs in older clients and may have contributed to the fluid
volume deficit the client is experiencing? - ANSWER-Decreased hepatic blood
flow.
-
Decreased hepatic blood flow commonly occurs in older clients. This decreases
drug metabolism, which allows drugs to remain in the body longer and produces a
greater drug effect.
Which lab test will the nurse monitor to determine if this may be a factor
contributing to the client's problem? - ANSWER-Serum protein.
-
Drug molecules may be distributed throughout the body bound to plasma protein
molecules. A decrease in serum protein levels is an indication that there may be
an increase in free, unbound drug molecules in the bloodstream.
Which labs would the nurse expect the Healthcare Provider (HCP) to order?
(Choose all that apply.) - ANSWER-BUN, Serum creatinine, Urine specific gravity
and osmolality, Liver function panel
-
For ongoing evaluation of the client's fluid volume status, which assessment data
is most important to obtain? - ANSWER-Body weight.
-
Daily weights provide the most important data about fluid volume status, so an
initial weight upon admission must be obtained.
