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Fluids and Electrolytes – Nursing 2026 | Comprehensive Study Guide, Practice Questions, Answers & NCLEX Review

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Master Fluids and Electrolytes in Nursing with this comprehensive 2026 study guide designed for nursing students preparing for exams, clinical practice, ATI, HESI, and NCLEX-style assessments. This resource covers fluid balance, fluid volume deficit and excess, dehydration, edema, IV fluid therapy, electrolyte imbalances, sodium, potassium, calcium, magnesium, and phosphate disorders, laboratory values, acid-base relationships, intake and output, nursing assessments, monitoring, interventions, and patient education. It includes practice questions, answers, detailed rationales, key concepts, clinical scenarios, and exam-focused review notes to strengthen clinical judgment and help students recognize and manage common fluid and electrolyte disturbances.

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Fluids and Electrolytes –
Nursing 2026 |
Comprehensive Study
Guide, Practice Questions,
Answers & NCLEX Review
| Complete Ethics Study
Guide




Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included

, Normal Sodium Levels 135 - 145 mEg/L




hemolytic reaction destruction of RBCs when patient receives mismatched blood transfusion

the most common causes of acute are errors in blood component labeling and client
identification that result in the administration of an ABO-incompatible transfusion


Function of Sodium Regulate Fluid Volume
Help maintain blood volume
Interact with calcium to maintain contraction
Stimulate nerve impulses


Normal Potassium Levels 3.5-5 mEq/L




Glomerular filtration rate (eGRF) amount of blood that can be filtered in the glomerulus in one minute
A GFR above 90 ml/min indicates good kidney function = the kidneys are able to
filter out wastes


BUN (blood urea nitrogen) detects how much urea nitrogen is in the blood
Urea is the waste product from protein breakdown in the liver. It is a waste product
that can become extremely toxic in the body
Normal range: 7-20 (over 20 = BAD KIDNEY!!)


Creatinine detects how much creatinine is in the blood
Creatinine is a waste product formed from muscle breakdown
Creatinine is ONLY meant to be excreted
Normal range:
Women: 0.5-1.1
Men: 0.6-1.2 (over 1.3 = BAD KIDNEY!!)
24 hour creatinine clearance test can be used to assess how well the kidneys are
getting rid of the creatinine


Function of Potassium Maintains ICF osmolarity
Regulates conduction of cardiac rhythm
Transmits electrical impulses
Assists with acid-base balance


Sources of Potassium Bananas, oranges, apricots, carrots, potatoes, tomatoes, spiniach, dairy and meat




Sources of Sodium Table salt, cheese, milk, processed foods, canned foods, preservatives




Normal Calcium Levels 9- 11 mg/dL




Function of Clacium Promotes transmission of nerve impulses
Major component of bone and teeth
Regulates muscle contraction
Formation of blood clots
Catalyst for cellular activites


Sources of Calcium Milk, Dark green veggies, salmon, breads

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