Which findings indicate that patient may have hypervolemia?
Select all that apply.
A. Increased, bounding pulse
B. Jugular vein distention
C. Presence of crackles
D. Excessive thirst
E. Elevated Blood pressure
F. Orthostatic Hypotension - ANSWER A, B, C, E
An older adult patient at risk for fluid and electrolyte problems is carefully monitored by the
nurse for the first indication of a fluid balance problem. What is the indication?
A. Fever
B. Elevated BP
C. Poor Skin Turgor
D. Mental Status Changes - ANSWER D. Mental status Changes
What are the consequences for a patient who does not meet the obligatory urine output?
Select all that apply.
A: Lethal electrolyte imbalances
B: Alkalosis
C: Urine becomes diluted
D: Toxic build up of nitrogen
E: Urine out put decreases
F: Acidosis - ANSWER A, D, F
1
, Which patient is at risk for excess insensible water loss?
A. Patient with constant GI suctioning
B: Patient with slow, deep respirations
C. Patient receiving O2 therapy
D. Patient with hypothermia - ANSWER A. Gastric Suctioning
Patients with which conditions are at greatest risk for deficient fluid volume?
Select all that apply.
A. Fever of 103
B. Extensive burns
C. Thyroid Crisis
D. Water intoxication
E. Continuous fistula drainage
F. Diabetes Insipidus - ANSWER A, B, C, E, F
The nurse is working in a long term care facility where there are numerous patients who are
immobile and at risk for dehydration. Which test is best to delegate to the UAP?
A. Offer patients a choice of fluids every 1 hour
B. Check patients at the beginning the shift to see who is thirsty.
C. Give patients extra fluids around medication times.
D. Evaluate oral intake and urinary output. - ANSWER A.
Which factors affect the amount and distribution of body fluids?Select all that apply.
A. Race
B. Age
C. Gender
D. Height
2
Select all that apply.
A. Increased, bounding pulse
B. Jugular vein distention
C. Presence of crackles
D. Excessive thirst
E. Elevated Blood pressure
F. Orthostatic Hypotension - ANSWER A, B, C, E
An older adult patient at risk for fluid and electrolyte problems is carefully monitored by the
nurse for the first indication of a fluid balance problem. What is the indication?
A. Fever
B. Elevated BP
C. Poor Skin Turgor
D. Mental Status Changes - ANSWER D. Mental status Changes
What are the consequences for a patient who does not meet the obligatory urine output?
Select all that apply.
A: Lethal electrolyte imbalances
B: Alkalosis
C: Urine becomes diluted
D: Toxic build up of nitrogen
E: Urine out put decreases
F: Acidosis - ANSWER A, D, F
1
, Which patient is at risk for excess insensible water loss?
A. Patient with constant GI suctioning
B: Patient with slow, deep respirations
C. Patient receiving O2 therapy
D. Patient with hypothermia - ANSWER A. Gastric Suctioning
Patients with which conditions are at greatest risk for deficient fluid volume?
Select all that apply.
A. Fever of 103
B. Extensive burns
C. Thyroid Crisis
D. Water intoxication
E. Continuous fistula drainage
F. Diabetes Insipidus - ANSWER A, B, C, E, F
The nurse is working in a long term care facility where there are numerous patients who are
immobile and at risk for dehydration. Which test is best to delegate to the UAP?
A. Offer patients a choice of fluids every 1 hour
B. Check patients at the beginning the shift to see who is thirsty.
C. Give patients extra fluids around medication times.
D. Evaluate oral intake and urinary output. - ANSWER A.
Which factors affect the amount and distribution of body fluids?Select all that apply.
A. Race
B. Age
C. Gender
D. Height
2
