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Med Surg-Chapter 16 Fluids and Electrolytes Questions and Correct Answers/ Latest Update / Already Graded

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A nurse is caring fro a critically ill patient with a urinary retention catheter, Which hourly urine output should the nurse first alert the nurse that the primary health-care provider should be notified? 1. 20ml 2.30ml 3.60ml 4.120ml 2 | Page Ans: (2). The circulating blood volume purfuses the kidneys producing a glomerular filtrate to which varying amounts are either reabsorbed or excreted to maintain fluid balance. When a person's urinary output is only 30ml, it indicates a deficienet circulating fluid volume, inadequate renal perfusion, and or kidney disease. The HCP should be notified. A nurse is caring for a patient that has depended edema. Which pressure has caused the excess fluid in the interstitial compartment? 1. Oncotic pressure 2. Diffusion pressure 3. Hydrostatic pressure

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Med Surg-Chapter 16 Fluids and
Electrolytes Questions and Correct
Answers/ Latest Update / Already
Graded
A nurse is caring fro a critically ill patient with a urinary retention

catheter, Which hourly urine output should the nurse first alert the

nurse that the primary health-care provider should be notified?




1. 20ml


2.30ml


3.60ml


4.120ml

,2 | Page

Ans: (2). The circulating blood volume purfuses the kidneys producing a

glomerular filtrate to which varying amounts are either reabsorbed or

excreted to maintain fluid balance. When a person's urinary output is only

30ml, it indicates a deficienet circulating fluid volume, inadequate renal

perfusion, and or kidney disease. The HCP should be notified.




A nurse is caring for a patient that has depended edema. Which

pressure has caused the excess fluid in the interstitial compartment?




1. Oncotic pressure


2. Diffusion pressure


3. Hydrostatic pressure


4. Intraventricular pressure

,3 | Page

Ans: (3) Hydrostatic pressure is the pressure exerted by a fluid within a

compartment, such as blood within the vessels. Hydrostatic pressure

moves fluid from an area of greater pressure to an area of lower pressure.

Hydrostatic pressure within the vessels of the body moves fluid from the

intravascular compartment into the interstitial compartment. Interstitial

fluid is extracelluar fluid that surrounds the cells.




A nurse evaluates the pts. fluid balance by monitoring the patient's

intake and output. Which must the nurse understand about the ratio

of the patient's fluid intake to output?




1. Intake should be slightly more than the output.


2. Intake should be higher than the fluid output.


3. Intake should be lower than the urine output.


4. Intake should be equal to the urine output.

, 4 | Page

Ans: (1) The volume and the composition of body fluids are kept in a

delicate balance by a harmonious interaction of the kidneys and the

endocrine, respiratory, cardiovascular, integumentary, and

gastrointestinal systems.




Hydrochlorothiazise (HCTZ) a diruretic, is prescribed for a patient who

is retaining fluid. The nurse should encourage the pt. to ingest

nutrients that contain which electrolyte?




1. Magnesium


2. Potassium


3. Calcium


4. Sodium

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