NRSG 2300 exam 2 units 3&4 Questions With Complete
Solutions
B. Fluid volume excess
Fluid volume excess may occur if clients, especially the very
young or elderly, receive IV fluid rapidly.
Others At Risk for FVE: Stress ie: major surgery=ADH
hormone increased in response to the stress of surgery ( before,
during and immediately after)
The nurse is caring for an elderly client who has been receiving
intravenous fluids at 175 mL/hr. The nurse assesses the client
and discovers crackles, shortness of breath, and distended neck
veins. The nurse would recognize these findings indicative of
which complication of IV fluid therapy?
A.An allergic reaction to the antibiotics in the fluid
B.Fluid volume excess
C.Pulmonary embolism
D.Speed shock
B. Mental Status changes
Foggy thinking, mild confusion may be the first indicators of
FVD or FVE/ the
brain needs a fine balance of fluids...Who here needs a drink?
Any foggy
thinking?
, An older adult patient at risk for fluid and electrolyte problems
is vigilantly
monitored by the nurse for the first indication of a fluid balance
problem. What is
this indication?
A. Fever
B. Mental Status changes
C. Poor Skin turgor
D. Dry Mucous membranes
4 - 6 mmHg
What is the normal range mmHg for central venous pressure
(CVP)?
< 30 - 35 ml/hr
How many liters per hour constitutes a renal form of
hypovolemia?
Low
Would Hct and Hgb be high or low with hypovolemia secondary
to blood loss?
High
also high sodium (hemoconcentration) and high urine specific
gravity, serum osmolality, and BUN.
Would Hct and Hgb be high or low with hypovolemia secondary
to FVD or dehydration?
Solutions
B. Fluid volume excess
Fluid volume excess may occur if clients, especially the very
young or elderly, receive IV fluid rapidly.
Others At Risk for FVE: Stress ie: major surgery=ADH
hormone increased in response to the stress of surgery ( before,
during and immediately after)
The nurse is caring for an elderly client who has been receiving
intravenous fluids at 175 mL/hr. The nurse assesses the client
and discovers crackles, shortness of breath, and distended neck
veins. The nurse would recognize these findings indicative of
which complication of IV fluid therapy?
A.An allergic reaction to the antibiotics in the fluid
B.Fluid volume excess
C.Pulmonary embolism
D.Speed shock
B. Mental Status changes
Foggy thinking, mild confusion may be the first indicators of
FVD or FVE/ the
brain needs a fine balance of fluids...Who here needs a drink?
Any foggy
thinking?
, An older adult patient at risk for fluid and electrolyte problems
is vigilantly
monitored by the nurse for the first indication of a fluid balance
problem. What is
this indication?
A. Fever
B. Mental Status changes
C. Poor Skin turgor
D. Dry Mucous membranes
4 - 6 mmHg
What is the normal range mmHg for central venous pressure
(CVP)?
< 30 - 35 ml/hr
How many liters per hour constitutes a renal form of
hypovolemia?
Low
Would Hct and Hgb be high or low with hypovolemia secondary
to blood loss?
High
also high sodium (hemoconcentration) and high urine specific
gravity, serum osmolality, and BUN.
Would Hct and Hgb be high or low with hypovolemia secondary
to FVD or dehydration?
