NURS 3138 Exam 2 Study Guide With
Complete Solution
Risk factors for fluid and electrolyte imbalance
age (infants, children, older adults)
cognitive disorders
chronic illness
assessment of fluid volume deficit
loss of body fluids (vomiting, hemorrhage, polyuria)
vital signs
basic metabolic panel
weight
level of consciousness
integumentary
blood osmolarity
nursing diagnosis for fluid volume deficit
deficient fluid volume related to excess fluid loss
decreased cardiac output related to excess fluid loss
potential complications of fluid volume deficit
,hypovolemic shock
plan/outcome for fluid volume deficit
cilent will have balanced intake and output or increases in weight by.....
cilent will have systolic blood pressure >_____ or mean arterial pressure
>______ by........
cilent will have no evidence of hypovolemic shock by.....
implementation for fluid volume deficit
STRICT intake and output
monitor laboratory findings (sodium and potassium)
monitor vital signs (heart and lung sounds)
daily weights
safety
fluid therapy
telemetry
why is daily weights an important intervention for fluid volume deficit?
is an accurate measure of it a patient is losing fluids or not
what is the importance of telemetry as an intervention for fluid volume
deficit?
ensures there is no signs of cardiac arrhythmias
monitor ECG
,linked with an electrolyte imbalance
what electrolyte imbalance is associated with telemetry?
potassium
HYPER or HYPO
evaluation for fluid volume deficit
did the cilent have balanced intake and output on increase in weight?
did cilent have systolic pressure >____ ot mean arterial pressure >______?
does the cilent have no evidence of hypovolemic shock?
main goals of fluid therapy
rapid replacement of water and electrolyre deficits
maintenance phase to infuse fluids to replace ongoing losses
what effect will hypertonic saline have on the body?
more sodium
fluid will move from tissue to blood
what effect will normal (isotonic) saline have on the body?
mimics sodium in the body
what effect will hypotonic saline (sodium chloride) have on the body?
less sodium
fluid will move into the cells
what is an example of when to administer hypertonic saline?
, cerebral edema
severe hyponatremia
what is an example of when to administer isotonic saline?
fluid resuscitation
what is an example of when to administer hypotonic saline?
treatment of dehydration due to low fluid intake
treatment of hypernatremia to provide fluid for renal excretion of solutes
example of hypertonic fluid solutions
3% NaCl
examples of isotonic fluid solutions
0.9% NaCl
Lactated Ringer Solution
5% Dextrose in Water
example of hypotonic saline solution
0.45% NaCl solution
assessment of fluid volume excess
edema
weight gain
jugular vein distention
blood osmolarity (<280)
Complete Solution
Risk factors for fluid and electrolyte imbalance
age (infants, children, older adults)
cognitive disorders
chronic illness
assessment of fluid volume deficit
loss of body fluids (vomiting, hemorrhage, polyuria)
vital signs
basic metabolic panel
weight
level of consciousness
integumentary
blood osmolarity
nursing diagnosis for fluid volume deficit
deficient fluid volume related to excess fluid loss
decreased cardiac output related to excess fluid loss
potential complications of fluid volume deficit
,hypovolemic shock
plan/outcome for fluid volume deficit
cilent will have balanced intake and output or increases in weight by.....
cilent will have systolic blood pressure >_____ or mean arterial pressure
>______ by........
cilent will have no evidence of hypovolemic shock by.....
implementation for fluid volume deficit
STRICT intake and output
monitor laboratory findings (sodium and potassium)
monitor vital signs (heart and lung sounds)
daily weights
safety
fluid therapy
telemetry
why is daily weights an important intervention for fluid volume deficit?
is an accurate measure of it a patient is losing fluids or not
what is the importance of telemetry as an intervention for fluid volume
deficit?
ensures there is no signs of cardiac arrhythmias
monitor ECG
,linked with an electrolyte imbalance
what electrolyte imbalance is associated with telemetry?
potassium
HYPER or HYPO
evaluation for fluid volume deficit
did the cilent have balanced intake and output on increase in weight?
did cilent have systolic pressure >____ ot mean arterial pressure >______?
does the cilent have no evidence of hypovolemic shock?
main goals of fluid therapy
rapid replacement of water and electrolyre deficits
maintenance phase to infuse fluids to replace ongoing losses
what effect will hypertonic saline have on the body?
more sodium
fluid will move from tissue to blood
what effect will normal (isotonic) saline have on the body?
mimics sodium in the body
what effect will hypotonic saline (sodium chloride) have on the body?
less sodium
fluid will move into the cells
what is an example of when to administer hypertonic saline?
, cerebral edema
severe hyponatremia
what is an example of when to administer isotonic saline?
fluid resuscitation
what is an example of when to administer hypotonic saline?
treatment of dehydration due to low fluid intake
treatment of hypernatremia to provide fluid for renal excretion of solutes
example of hypertonic fluid solutions
3% NaCl
examples of isotonic fluid solutions
0.9% NaCl
Lactated Ringer Solution
5% Dextrose in Water
example of hypotonic saline solution
0.45% NaCl solution
assessment of fluid volume excess
edema
weight gain
jugular vein distention
blood osmolarity (<280)
