Med Surg Ch 8 Fluid and Electrolyte Management questions with correct answers

The nurse is providing care to a patient who is diagnosed with multisystem fluid volume deficit. The patient is currently experiencing tachycardia and decreased urine output along with skin that is pale and cool to the touch. The patient has a decreased urine output. Which probable cause to the patient's symptoms should the nurse include when educating the family? 1) Congestive heart failure 2) Rapidly infused intravenous fluids 3) Natural compensatory mechanisms 4) Pharmacological effects of a diuretic CORRECT ANSWER-ANS: 3 The internal vasoconstrictive compensatory reactions within the body are responsible for the symptoms exhibited. The body naturally attempts to conserve fluid internally specifically for the brain and heart. The nurse is providing care to a patient whose serum calcium levels have increased since a surgical procedure performed three days prior. Which intervention should the nurse implement to decrease the risk for the development of hypercalcemia? 1) Monitor vital signs every eight hours 2) Encourage ambulation three times a day 3) Irrigate the Foley catheter one time a day 4) Recommend turning, coughing, and deep breathing every two hours CORRECT ANSWER-ANS: 2 Hypercalcemia can occur from immobility. Ambulation of the client helps to prevent leaching of calcium from the bone