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NURS 380 Exam 1 Study Guide Blueprint Latest recent and frequently tested exam with comprehensive questions and verified accurate solution (detailed & elaborated) GRADED A+.

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NURS 380 Exam 1 Study Guide Blueprint Latest recent and frequently tested exam with comprehensive questions and verified accurate solution (detailed & elaborated) GRADED A+.

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NURS 380 Exam 1 Study Guide Blueprint
Latest recent and frequently tested exam
with comprehensive questions and verified
accurate solution (detailed & elaborated)
GRADED A+

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, Obj. #1 Identify basic concepts related to fluid and electrolyte balance - correct ans:Imbalances can be
caused by--

- decrease in taste, smell, and thirst

- comorbidities- can influence appetite, diet, food absorption, GI motility

- medications

- renal blood flow decreases

- kidney size decreases with age- hardening of the glomeruli

- decrease in glomerular filtration rate (GFR)



Obj. #2 Describe the clinical presentation and management of dehydration/hypovolemia - correct
ans:Clinical Presentation

- weight loss, decreased skin turgor, concentrated urine output, oliguria, thirst, dry mucous membranes,
hypotension, anxiety, restless, pale skin

Interventions

- identify and treat causes, intake of oral fluids, IV isotonic solutions, close monitoring, collection of
health history, physical assessment (vital signs, mucous membranes, skin turgor, urine specific
gravity/color/volume), intake and output



Obj. #3 Describe the clinical presentation and management of fluid overload/hypervolemia - correct
ans:Clinical Presentation

- weight gain, ascites (abdominal edema), edema, increased urine output, cardiac symptoms (high blood
pressure, tachycardia, elevated central venous pressure, distended jugular veins), respiratory symptoms
(crackles in the lungs, wheezing, SOB, low O2)

Interventions

- correcting and managing underlying cause, treating clinical manifestations, fluid restriction,
discontinue IV fluids, diuretics, dialysis

- collecting health history (current medications and compliance), physical assessment, reviewing
laboratory data, monitoring weight, calculating intake and output



Obj. #4 Identify normal laboratory ranges of electrolytes (sodium, chloride, potassium, calcium,
phosphorus, magnesium) - correct ans:Sodium- 135 - 145 mEq/L

Chloride- 97 - 107 mEq/L

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