Fluid & Electrolyte Imbalances, Acid-Base Disorders | Verified Q&A | A+
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Comprehensive Review for Fluid Overload, Dehydration, Electrolyte Imbalances (Ca, K, Mg, Na), Metabolic and
Respiratory Acidosis/Alkalosis
SUBJECT COURSE FOCUS
Medical-Surgical Nursing NUR 242 Exam 2 Fluids, Electrolytes, ABGs
Question 1
What are the causes of fluid overload?
A. Excessive fluid replacement, kidney failure (late phase), heart failure
B. Long term corticosteroid therapy, SIADH, psychiatric disorders with polydipsia, water intoxication
C. Both A and B
D. Dehydration, vomiting, diarrhea
CORRECT ANSWER
C. Both A and B
RATIONALE
• Fluid overload results from excessive intake, decreased excretion (renal failure), or fluid retention (HF,
SIADH, corticosteroids).
, Question 2
What are signs and symptoms of fluid overload?
A. Tachycardia, bounding pulse, hypertension, JVD, weight gain
B. Increased shallow respirations, SOB, crackles lung sounds
C. Pitting edema, pale cool skin, LOC changes, headache, muscle weakness
D. All of the above
CORRECT ANSWER
D. All of the above
RATIONALE
• Fluid overload affects multiple systems: cardiovascular (tachycardia, JVD), respiratory (crackles), skin
(edema), and neuromuscular (LOC changes).
Question 3
What is the goal of fluid overload interventions?
A. Reduce excess body fluids and promote desired elimination
B. Increase fluid intake
C. Promote sodium retention
D. Decrease urine output
CORRECT ANSWER
A. Reduce excess body fluids and promote desired elimination
RATIONALE
• Interventions include diuretics, fluid restriction, sodium restriction, and monitoring I/O to reduce fluid
overload.