NUR 330: EXAM 1- FLUID BALANCE
QUESTIONS AND CORRECT
ANSWERS
FluidA2andA2ElectrolyteA2BalanceA2isA2necessaryA2forA2what?A2-A2Ans--life-A2homeostasis
BodyA2fluidsA2andA2electrolytesA2areA2maintainedA2withinA2_____A2limits.A2-A2Ans--narrow
WhatA2isA2theA2nursingA2roleA2forA2fluidA2andA2electrolyteA2balance?A2-A2Ans--
anticipateA2imbalance,A2identifyA2imbalance,A2andA2respondA2byA2preventionA2orA2treatme
nt
WhatA2doesA2fluidA2amountA2varyA2with?A2-A2Ans--age,A2bodyA2size,A2gender
HowA2muchA2ofA2yourA2bodyA2isA2IntracellularA2fluid/A2-A2Ans--2/3
HowA2muchA2ofA2yourA2bodyA2isA2extracellularA2fluid?A2-A2Ans--1/3
WhatA2isA2includedA2inA2extracellularA2fluid?A2-A2Ans--
•Intravascular:A2plasma,A2erythrocytes,A2leukocytes,A2thrombocytes
•Interstitial:A2lymph
•Transcellular:A2cerebrospinal,A2pericardial,A2synovial,A2fluidA2inA2theA2GIA2tract
WhatA2areA2theA2differentA2waysA2inA2whichA2fluidA2canA2moveA2toA2differentA2partsA2ofA2th
eA2body?A2-A2Ans--osmosis,A2diffusion,A2filtration,A2activeA2transport
WhatA2isA2osmosis?A2-A2Ans--
areaA2ofA2lowA2soluteA2concentrationA2toA2areaA2ofA2highA2soluteA2concentration
WhatA2isA2diffusion?A2-A2Ans--
solutesA2moveA2fromA2areaA2ofA2higherA2concentrationA2toA2oneA2ofA2lowerA2concentration
WhatA2isA2filtration?A2-A2Ans--
movementA2ofA2water,A2solutesA2occurA2fromA2areaA2ofA2highA2hydrostaticA2pressureA2toA2
areaA2ofA2lowA2hydrostaticA2pressure
WhatA2isA2activeA2transport:A2sodium-potassiumA2pump?A2-A2Ans--
maintainsA2higherA2concentrationA2ofA2extracellularA2sodium,A2intracellularA2potassium
WhatA2isA2firstA2spacing?A2-A2Ans--normalA2distributionA2inA2ICFA2andA2ECF
, WhatA2isA2secondA2spacing?A2-A2Ans--
abnormalA2accumulationA2ofA2interstitialA2fluidA2(edemaA2inA2extremities)
WhatA2isA2thirdA2spacing?A2-A2Ans--
fluidA2accumulatingA2whereA2itA2isA2notA2easilyA2exchangedA2withA2ECF:A2ascites,A2edema
A2associatedA2withA2burns,A2trauma,A2sepsis
HowA2doA2healthyA2peopleA2gainA2fluid?A2-A2Ans--drinkingA2andA2eating-
A2peopleA2inA2theA2hospitalA2throughA2IV
DailyA2I&OA2ofA2waterA2areA2______.A2-A2Ans--Equal
InA2whatA2waysA2doA2weA2loseA2fluid?A2-A2Ans--kidneys,A2skin,A2lungs,A2GIA2tract
HowA2muchA2shouldA2urineA2outputA2be?A2-A2Ans--1mL/kg/h
HowA2isA2fluidA2lostA2throughA2theA2skin?A2-A2Ans--
sensibleA2dueA2toA2sweating,A2insensibleA2dueA2toA2fever/exercise/burns
HowA2muchA2fluidA2isA2lostA2throughA2theA2lungs?A2-A2Ans--
100A2mLA2everyday,A2greaterA2withA2elevatedA2RR
WhatA2tellsA2theA2kidneysA2howA2muchA2urineA2toA2make?A2-A2Ans--
volume,A2pressure,A2andA2hormones
TheA2kidneyA2isA2veryA2sensitiveA2toA2volumeA2andA2pressureA2soA2it.....A2-A2Ans--
changesA2itA2functioningA2basedA2offA2ofA2whatA2theA2heartA2isA2givingA2toA2it
HowA2doA2theA2heartA2andA2bloodA2vesselsA2affectA2fluidA2balance?A2-A2Ans--
theA2pressureA2andA2amountA2ofA2bloodA2gettingA2toA2theA2kidneysA2affectsA2howA2muchA2
urineA2outputA2thereA2is.
WhatA2happensA2toA2urineA2outputA2duringA2heartA2failure?A2-A2Ans--itA2decreases-
A2notA2enoughA2bloodA2isA2gettingA2toA2theA2kidneysA2andA2theA2heartA2reactsA2inA2aA2wayA
2thatA2makeA2thingsA2worse
HowA2doesA2theA2pituitaryA2glandA2affectA2fluidA2balance?A2-A2Ans--
hasA2antidiureticA2hormonesA2thatA2helpsA2conserveA2orA2releaseA2water
WhatA2doA2adrenalA2functionsA2affectA2fluidA2balanceA2-A2Ans--
aldosteronA2isA2secretedA2hereA2causedA2holdingA2onA2toA2sodiumA2causingA2waterA2toA2fo
llow
WhatA2areA2theA2gerontologicA2considerationsA2forA2fluidA2balance?A2-A2Ans--
•ClinicalA2manifestationsA2ofA2imbalanceA2mayA2beA2subtle
•FluidA2deficitA2mayA2causeA2delirium
QUESTIONS AND CORRECT
ANSWERS
FluidA2andA2ElectrolyteA2BalanceA2isA2necessaryA2forA2what?A2-A2Ans--life-A2homeostasis
BodyA2fluidsA2andA2electrolytesA2areA2maintainedA2withinA2_____A2limits.A2-A2Ans--narrow
WhatA2isA2theA2nursingA2roleA2forA2fluidA2andA2electrolyteA2balance?A2-A2Ans--
anticipateA2imbalance,A2identifyA2imbalance,A2andA2respondA2byA2preventionA2orA2treatme
nt
WhatA2doesA2fluidA2amountA2varyA2with?A2-A2Ans--age,A2bodyA2size,A2gender
HowA2muchA2ofA2yourA2bodyA2isA2IntracellularA2fluid/A2-A2Ans--2/3
HowA2muchA2ofA2yourA2bodyA2isA2extracellularA2fluid?A2-A2Ans--1/3
WhatA2isA2includedA2inA2extracellularA2fluid?A2-A2Ans--
•Intravascular:A2plasma,A2erythrocytes,A2leukocytes,A2thrombocytes
•Interstitial:A2lymph
•Transcellular:A2cerebrospinal,A2pericardial,A2synovial,A2fluidA2inA2theA2GIA2tract
WhatA2areA2theA2differentA2waysA2inA2whichA2fluidA2canA2moveA2toA2differentA2partsA2ofA2th
eA2body?A2-A2Ans--osmosis,A2diffusion,A2filtration,A2activeA2transport
WhatA2isA2osmosis?A2-A2Ans--
areaA2ofA2lowA2soluteA2concentrationA2toA2areaA2ofA2highA2soluteA2concentration
WhatA2isA2diffusion?A2-A2Ans--
solutesA2moveA2fromA2areaA2ofA2higherA2concentrationA2toA2oneA2ofA2lowerA2concentration
WhatA2isA2filtration?A2-A2Ans--
movementA2ofA2water,A2solutesA2occurA2fromA2areaA2ofA2highA2hydrostaticA2pressureA2toA2
areaA2ofA2lowA2hydrostaticA2pressure
WhatA2isA2activeA2transport:A2sodium-potassiumA2pump?A2-A2Ans--
maintainsA2higherA2concentrationA2ofA2extracellularA2sodium,A2intracellularA2potassium
WhatA2isA2firstA2spacing?A2-A2Ans--normalA2distributionA2inA2ICFA2andA2ECF
, WhatA2isA2secondA2spacing?A2-A2Ans--
abnormalA2accumulationA2ofA2interstitialA2fluidA2(edemaA2inA2extremities)
WhatA2isA2thirdA2spacing?A2-A2Ans--
fluidA2accumulatingA2whereA2itA2isA2notA2easilyA2exchangedA2withA2ECF:A2ascites,A2edema
A2associatedA2withA2burns,A2trauma,A2sepsis
HowA2doA2healthyA2peopleA2gainA2fluid?A2-A2Ans--drinkingA2andA2eating-
A2peopleA2inA2theA2hospitalA2throughA2IV
DailyA2I&OA2ofA2waterA2areA2______.A2-A2Ans--Equal
InA2whatA2waysA2doA2weA2loseA2fluid?A2-A2Ans--kidneys,A2skin,A2lungs,A2GIA2tract
HowA2muchA2shouldA2urineA2outputA2be?A2-A2Ans--1mL/kg/h
HowA2isA2fluidA2lostA2throughA2theA2skin?A2-A2Ans--
sensibleA2dueA2toA2sweating,A2insensibleA2dueA2toA2fever/exercise/burns
HowA2muchA2fluidA2isA2lostA2throughA2theA2lungs?A2-A2Ans--
100A2mLA2everyday,A2greaterA2withA2elevatedA2RR
WhatA2tellsA2theA2kidneysA2howA2muchA2urineA2toA2make?A2-A2Ans--
volume,A2pressure,A2andA2hormones
TheA2kidneyA2isA2veryA2sensitiveA2toA2volumeA2andA2pressureA2soA2it.....A2-A2Ans--
changesA2itA2functioningA2basedA2offA2ofA2whatA2theA2heartA2isA2givingA2toA2it
HowA2doA2theA2heartA2andA2bloodA2vesselsA2affectA2fluidA2balance?A2-A2Ans--
theA2pressureA2andA2amountA2ofA2bloodA2gettingA2toA2theA2kidneysA2affectsA2howA2muchA2
urineA2outputA2thereA2is.
WhatA2happensA2toA2urineA2outputA2duringA2heartA2failure?A2-A2Ans--itA2decreases-
A2notA2enoughA2bloodA2isA2gettingA2toA2theA2kidneysA2andA2theA2heartA2reactsA2inA2aA2wayA
2thatA2makeA2thingsA2worse
HowA2doesA2theA2pituitaryA2glandA2affectA2fluidA2balance?A2-A2Ans--
hasA2antidiureticA2hormonesA2thatA2helpsA2conserveA2orA2releaseA2water
WhatA2doA2adrenalA2functionsA2affectA2fluidA2balanceA2-A2Ans--
aldosteronA2isA2secretedA2hereA2causedA2holdingA2onA2toA2sodiumA2causingA2waterA2toA2fo
llow
WhatA2areA2theA2gerontologicA2considerationsA2forA2fluidA2balance?A2-A2Ans--
•ClinicalA2manifestationsA2ofA2imbalanceA2mayA2beA2subtle
•FluidA2deficitA2mayA2causeA2delirium