SAUNDERS FLUID & ELECTROLYTE FINAL EXAM QUESTIONS WITH CORRECT ANSWERS

SAUNDERS FLUID & ELECTROLYTE FINAL EXAM QUESTIONS WITH CORRECT ANSWERS A nurse is reading a physician's progress notes in the lcient's record and reads that the physician had documented "insensible fluid loss of approximately 800 mL daily." The nurse interprets that this type of fluid loss can occur through: 1) The skin 2) Urinary output 3) Wound drainage 4) The gastrointestinal tract - Answer-Answer: 1 Rational: Sensible losses are those of which the person is aware, such as through wound drainage, gastrointestinal tract losses, and urination. Insensible losses may occur without the person's awareness. Insensible losses occur daily through the skin and lungs. A nurse is assigned to care for a group of clients. On review of the clients' medical records, the nurse determines that which client is at risk for fluid volume deficit? 1) A client with a colostomy 2) A client with congestive heart failure 3) A client on long term corticosteroid therapy 4) A client receiving frequent wound irrigations - Answer-Answer: 1 Rational: A fluid volume deficit occurs when the fluid intakes is not sufficient to meet the fluid needs of the body. Causes of a fluid volume deficit include vomiting, diarrhea, conditions that cause increased respirations or increased urinary output, insufficient intravenous fluid replacement, draining fistulas, and the presence of an ileostomy or colostomy. A client with congestive heart failure or on long-term corticosteroid therapy, or a client receiving frequent wound irrigations, is at risk for fluid volume excess. A nurse caring for for a client who has been receiving IV diuretics suspects that the client is experiencing a fluid volume deficit. Which assessment finding would the nurse note in a client with this condition? 1) Lung congestion 2) Decreased hematocrit 3) Increased blood pressure 4) Decreased central venous pressure (CVP) - Answer-Answer: 4