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Sherpath: Fluid Balance – Implement and Take Action; Evaluate – A+ Grade 2026/2027 – Questions and Answers

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This Sherpath module trains nursing students to assess, implement, and evaluate fluid balance interventions in patients with acute or chronic conditions. It emphasizes: Accurate Intake & Output (I&O) charting Recognition of fluid volume deficit (hypovolemia) and excess (hypervolemia) Implementation of nursing interventions (IV fluids, diuretics, patient education) Evaluation of outcomes through vital signs, daily weights, and lab values The module prepares learners for NCLEX-style questions and clinical practice by reinforcing critical thinking and prioritization in fluid management

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Sherpath: Fluid Balance: Implement and Take Action; Evaluate
questions and answers A+ Grade 2026\2027

Which assessments would the nurse closely monitor as indicators of changes in a patient's fluid volume
status?
- correct answer Vital signs

Daily weights

Intake and output



Which substances would the nurse include in a patient's fluid intake tally at the end of 24 hours?
- correct answer IV fluids

a dish of cherry-flavored gelatin

Supplemental enteral feedings



Which measurements would the nurse include in a patient's fluid output tally at the end of the day?
- correct answer Urine in a urinary catheter collection bag

Emesis caused by a vomiting episode



Which items are commonly used as measuring tools for urine output?
- correct answer Urine hat

Diaper

Urinal

Indwelling catheter



Which factors would a nurse consider when planning fluid intake for a patient on a 1200 mL fluid
restriction plan?
- correct answer Meals

Medications

Intravenous (IV) fluid intake

, Between-meal fluids



A patient has been placed on fluid restriction for management of fluid volume excess. Which actions
would the nurse take to ensure the alert, adult patient is responsible and comfortable meeting the fluid
restriction goals?
- correct answer Involve the patient, if possible, and plan to space small amounts of fluid intake
throughout the day.



Which action would the nurse take after noting that at 1:00 p.m. a patient on a fluid restriction has
consumed 800 mL of the daily allotted 1200 mL?
- correct answer Involve the patient in planning how to budget the remaining 400 mL over the
remainder of the day.



Which related actions would be included when carrying out the nursing intervention "Provide water and
a variety of fluids based on patient preferences" for a patient who requires oral fluid replacement?
- correct answer Keep a pitcher of fresh water at the bedside at all times.

Determine which beverages the patient prefers.



Which questions would the nurse consider when choosing the intravenous (IV) site for a patient with a
prescription to start IV fluids?
- correct answer What is the condition of the patient's veins?

What is the patient's age?

How long is the patient to receive IV therapy?

What is the patient's diagnosis?



Which complication would a nurse need to monitor for when assigned a patient receiving 0.9% normal
saline intravenously?
- correct answer Hypernatremia



Hypotonic crystalloid
- correct answer 0.45% NS



Isotonic crystalloid
- correct answer 5% dextrose and water (D5W)

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