NUR242 Exam 2 Galen 2025/2026 Exam
Questions with 100% Correct Answers |
Latest Update
Causes of fluid overload - 🧠 ANSWER ✔✔•Excessive fluid replacement
•Kidney failure (late phase)
•Heart failure
•Long term corticosteroid therapy
•Syndrome of inappropriate antidiuretic hormone (SIADH)
•Psychiatric disorders with polydipsia
•Water intoxication
,s/s fluid overload - 🧠 ANSWER ✔✔•CV: tachycardia, bounding pulse, HTN,
decrease pulse pressure, JVD, weight gain
•Resp: increase and shallow resp; SOB, crackles lung sounds
•Skin: pitting edema, skin pale and cool to touch
•Neuromuscular: LOC, HA, visual disturbance, muscle weakness,
paresthesia
•GI: increase motility, enlarge liver
Assessment for fluid overload - 🧠 ANSWER ✔✔•Assess risk r/t age and
diagnosis, history (overhydration, CHF, kidney disease)
•Assess vital signs why: watch for bounding tachycardia, HTN,
dysrhythmias, tachypnea
•Assess lung sounds (crackles) , weight, LOC, Observe JVD
•Assess lab values: electrolytes imbalance and signs and symptoms
• Focus Assessment: skin/extremities/ abdomen and sacrum area for
edema
, •Assess perfusion: edema may impair perfusion to extremities, assess
peripheral and central pulses, capillary refill, skin color, temp, sensory and
motor function
•Observe for urine output
Lab values fluid overload - 🧠 ANSWER ✔✔•Serum osmolality (275-295
mOsm/kg)
•Decrease found in overhydration <275; and < 265 is critical finding
•CBC
•Decrease hemoglobin and hematocrit
•BUN
•decreased BUN
•Electrolytes
•Decreased sodium (shifts due to dilution)
•Urine specific gravity Decrease < 1.005
fluid overload interventions/goal - 🧠 ANSWER ✔✔•Goal: reduce excess
body fluids, promote desired elimination
•Manage underlying cause
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
Questions with 100% Correct Answers |
Latest Update
Causes of fluid overload - 🧠 ANSWER ✔✔•Excessive fluid replacement
•Kidney failure (late phase)
•Heart failure
•Long term corticosteroid therapy
•Syndrome of inappropriate antidiuretic hormone (SIADH)
•Psychiatric disorders with polydipsia
•Water intoxication
,s/s fluid overload - 🧠 ANSWER ✔✔•CV: tachycardia, bounding pulse, HTN,
decrease pulse pressure, JVD, weight gain
•Resp: increase and shallow resp; SOB, crackles lung sounds
•Skin: pitting edema, skin pale and cool to touch
•Neuromuscular: LOC, HA, visual disturbance, muscle weakness,
paresthesia
•GI: increase motility, enlarge liver
Assessment for fluid overload - 🧠 ANSWER ✔✔•Assess risk r/t age and
diagnosis, history (overhydration, CHF, kidney disease)
•Assess vital signs why: watch for bounding tachycardia, HTN,
dysrhythmias, tachypnea
•Assess lung sounds (crackles) , weight, LOC, Observe JVD
•Assess lab values: electrolytes imbalance and signs and symptoms
• Focus Assessment: skin/extremities/ abdomen and sacrum area for
edema
, •Assess perfusion: edema may impair perfusion to extremities, assess
peripheral and central pulses, capillary refill, skin color, temp, sensory and
motor function
•Observe for urine output
Lab values fluid overload - 🧠 ANSWER ✔✔•Serum osmolality (275-295
mOsm/kg)
•Decrease found in overhydration <275; and < 265 is critical finding
•CBC
•Decrease hemoglobin and hematocrit
•BUN
•decreased BUN
•Electrolytes
•Decreased sodium (shifts due to dilution)
•Urine specific gravity Decrease < 1.005
fluid overload interventions/goal - 🧠 ANSWER ✔✔•Goal: reduce excess
body fluids, promote desired elimination
•Manage underlying cause
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
