HESI CASE STUDY: FLUID BALANCE EXAM QUESTIONS AND
ANSWERS GRADED A+ 100% VERIFIED.
An older adult with CAD and HTN was brought to the ED by her
daughter because she has become increasingly weak and
confused. The client was found by a neighbour wandering her
neighbourhood unable to locate her home. The client's
daughter tells the RN that her mother takes a "water pill" for
her BP 2-3x/day. The label on the med bottle that she brought
to the hospital states, "hydrochlorothiazide. Take 1 tablet daily".
The client is admitted with fluid volume deficit.
Vital signs: Orthostatic Changes
,HESI CASE STUDY
Since the client has a fluid volume deficit, the nurse anticipates
a decrease in which VS when she changes position?
a. Respiratory rate
b. BP
c. Temp
d. Pulse rate ANS >> BP
The nurse plans to assess the client for orthostatic VS changes.
Which action will the nurse take first?
a. Assist the client to a standing position
b. Position the client in a supine position
c. Elevate the head of the client's bed
d. Dangle the client's feet at the bedside ANS >> Position the
client in a supine position
The nurse takes the first BP measurement. After recording the
first BP measurement, what action will the nurse take?
a. Count the client's radial pulse rate
, HESI CASE STUDY
b. Remove the BP cuff
c. Help the client change positions
d. Assess for an auscultatory gap ANS >> Count the client's
radial pulse rate
Age-related Risk Factors
The nurse discusses factors that contributed to the client's fluid
volume deficit with her and her daughter, and receives orders
for labs to be obtained.
Which problem often occurs in older client's and may have
contributed to the fluid volume deficit the client is
experiencing?
a. Decreased hepatic blood flow
b. Decreased drug absorption
c. Decrease drug half-life
d. Decreased GI acidity ANS >> Decreased hepatic blood flow
The nurse is aware that older clients often experience an
increase in the amount of free, unbound drug molecules, which