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NU271 HESI Case Study: Fluid Balance (week 10)
Questions with Answers (100% Correct Answers)
Since the client has a fluid volume deficit, the nurse anticipates a decrease in which
vital sign when she changes position?
Ans: Blood pressure.
-
Fluid volume deficit often causes orthostatic hypotension and tachycardia. Because the
client may experience diiness with orthostatic hypotension, the nurse should take
additional safety precautions during this assessment.zz
The nurse plans to assess the client for orthostatic vital sign changes. Which action
will the nurse take first?
Ans: Position the client in a supine position.
-
Orthostatic vital signs are measured in each position: lying, sitting, and standing. The
client's vital signs are first assessed in the supine position so that changes that occur
when the client sits and stands can be determined.
The nurse takes the first blood pressure measurement. After recording the first
blood pressure measurement, what action will the nurse take?
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, 2
Ans: Count the client's radial pulse rate.
-
Both the blood pressure and pulse rate are typically measured in each position: lying,
sitting, and standing.
Which problem often occurs in older clients and may have contributed to the fluid
volume deficit the client is experiencing?
Ans: Decreased hepatic blood flow.
-
Decreased hepatic blood flow commonly occurs in older clients. This decreases drug
metabolism, which allows drugs to remain in the body longer and produces a greater
drug effect.
Which lab test will the nurse monitor to determine if this may be a factor
contributing to the client's problem?
Ans: Serum protein.
-
Drug molecules may be distributed throughout the body bound to plasma protein
molecules. A decrease in serum protein levels is an indication that there may be an
increase in free, unbound drug molecules in the bloodstream.
Which labs would the nurse expect the Healthcare Provider (HCP) to order? (Choose
all that apply.)
Ans: BUN, Serum creatinine, Urine specific gravity and osmolality, Liver function panel
-
For ongoing evaluation of the client's fluid volume status, which assessment data is
most important to obtain?
© 2025 All rights reserved
NU271 HESI Case Study: Fluid Balance (week 10)
Questions with Answers (100% Correct Answers)
Since the client has a fluid volume deficit, the nurse anticipates a decrease in which
vital sign when she changes position?
Ans: Blood pressure.
-
Fluid volume deficit often causes orthostatic hypotension and tachycardia. Because the
client may experience diiness with orthostatic hypotension, the nurse should take
additional safety precautions during this assessment.zz
The nurse plans to assess the client for orthostatic vital sign changes. Which action
will the nurse take first?
Ans: Position the client in a supine position.
-
Orthostatic vital signs are measured in each position: lying, sitting, and standing. The
client's vital signs are first assessed in the supine position so that changes that occur
when the client sits and stands can be determined.
The nurse takes the first blood pressure measurement. After recording the first
blood pressure measurement, what action will the nurse take?
© 2025 All rights reserved
, 2
Ans: Count the client's radial pulse rate.
-
Both the blood pressure and pulse rate are typically measured in each position: lying,
sitting, and standing.
Which problem often occurs in older clients and may have contributed to the fluid
volume deficit the client is experiencing?
Ans: Decreased hepatic blood flow.
-
Decreased hepatic blood flow commonly occurs in older clients. This decreases drug
metabolism, which allows drugs to remain in the body longer and produces a greater
drug effect.
Which lab test will the nurse monitor to determine if this may be a factor
contributing to the client's problem?
Ans: Serum protein.
-
Drug molecules may be distributed throughout the body bound to plasma protein
molecules. A decrease in serum protein levels is an indication that there may be an
increase in free, unbound drug molecules in the bloodstream.
Which labs would the nurse expect the Healthcare Provider (HCP) to order? (Choose
all that apply.)
Ans: BUN, Serum creatinine, Urine specific gravity and osmolality, Liver function panel
-
For ongoing evaluation of the client's fluid volume status, which assessment data is
most important to obtain?
© 2025 All rights reserved
