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Davis Advantage for Wilkinson's Fundamentals of Nursing (2 Volume Set)

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Davis Advantage for Wilkinson's Fundamentals of Nursing (2 Volume Set)

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Exam 2: Fluid Balance Davis Advantage
Study online at https://quizlet.com/_8hp0ld

1. The nurse is caring for a client with a hypotonic fluid intracellular space is dry
ordered for infusion. What would be the reason for this
type of fluid being used? Select all that apply. extracellular spaces are
Intracellular space is swollen. swollen
Intracellular space is dry.
Both extracellular and intracellular space is equal.
Extracellular spaces are dry.
Extracellular spaces are swollen.

2. The nurse is concerned about fluid loss for the at-risk emesis
client. What should be included in the output measure- urine
ment? Select all that apply.
Wound drainage
Emesis
Sweat
Urine
Sputum

3. The nurse receives hand-off report on each of these the client who has heart
clients. Who is at the greatest risk for fluid volume failure
excess?
The client recovering from a large abdominal surgery.
The client with diarrhea for the past three days
The client with heart failure
The client who's semiconscious and unable to drink
water

4. The nurse is assessing a client after surgery who is de- tongue and skin turgor
hydrated and experiencing hypotension, tachycardia,
and decreased urine output. What additional assess-
ment should the nurse perform?
Tongue and skin turgor
1/2

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