Nur’s 2000- Ch 13: Fluid & electrolyte balances Questions Fully Solved.

Nur’s 2000- Ch 13: Fluid & electrolyte
balances Questions Fully Solved.
NCLEX Examination Challenge 13.1

Physiological Integrity

What responses does the nurse expect as a result of infusing 500 mL liter of a 3% saline
intravenous solution into a client over a 1-hour time period?

A. Plasma volume osmolarity increases; blood pressure increases

B. Plasma volume osmolarity decreases; blood pressure increases

C. Plasma volume osmolarity increases; blood pressure decreases

D. Plasma volume osmolarity decreases; blood pressure decreases - Answer A

Plasma volume osmolarity increases; blood pressure increases



NCLEX Examination Challenge 13.2

Safe and Effective Care Environment

Which clinical indicators are most relevant for the nurse to monitor during IV fluid replacement
for a client with dehydration? Select all that apply.

A. Blood pressure

B. Deep tendon reflexes

C. Hand-grip strength

D. Pulse rate and quality

E. Skin turgor

F. Urine output - Answer A, D, F

Blood pressure

Pulse rate & quality

Urine output



NCLEX Examination Challenge 13.3

Safe and Effective Care Environment

The client who is confined to bed in the recumbent position has gained 5 lb (2.3 kg) in the past
24 hours. In which area does the nurse assess skin turgor for accurate determination of
dependent edema?

A. Foot and ankle

B. Forehead

C. Sacrum

D. Chest - Answer C