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NUR 170 Exam 1 Questions and Verified Correct Answers Galen College Of Nursing

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NUR 170 Exam 1 Questions and
Verified Correct Answers Galen
College Of Nursing-Louisville
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, Normal I+O - Answer: Intake 2-3L/day; Loss of 400-600 mL minimum in urine, 500mL-1L of insensible
water loss

What % of body is water? - Answer: 60%, Women and elderly are 50%

Fluid Compartments - Answer: Intracellular and extracellular (interstitial and intravascular)

Dehydration S+S - Answer: headache, confusion, tachycardia, hypotension, poor skin turgor, decreased
UOP, dry mucus membranes, constipation, thirst
Labs: increased hemoconcentration, BUN, Na, and USG

Dehydration Nursing Interventions - Answer: give fluids, get labs, monitor I+Os

1L of water = _____ lb. - Answer: 2.2 lbs/1 kg

Weight change of 1 lb = fluid volume change of about ___ mL. - Answer: 500

Dehydration Causes - Answer: Outdoor work, exercise, N/V, alcohol, diarrhea, ileostomy, laxatives,
burns, fever, diuretics, NG suctioning, NPO order

Fluid Volume Overload S+S - Answer: bounding increased pulse, HTN, dyspnea, lung crackles, edema,
weight gain

Labs: decreased hematocrit, serum Na, and USG

Fluid Volume Overload Causes - Answer: endstage renal disease, CHF, water intoxication, SIADH,
corticosteroid therapy, rapid fluid replacement

Fluid Volume Overload Tx - Answer: diuretics, fluid and salt restriction, I+O monitoring

Hyponatremia S+S and Worst Case - Answer: S+S: irritable, confused, tired, abdominal cramps, muscle
weakness, salt craving
Worst Case: SZ, psychosis, ataxia

Hyponatremia: Tx & Interventions - Answer: Tx: Fluid restriction, Na supplements, 3% normal saline

Interventions: monitor neurological status, SZ/fall precautions

Hypernatremia S+S and Worst Case - Answer: S+S: restless, agitated, anorexia, N/V, lethargic, weak,
confused, thirsty

Worst Case: SZ, coma, decreased LOC

Hypernatremia Tx and Interventions - Answer: Tx: Fluids

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