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CNUR 103: Week 8; Urinary Catheterization, Specimen Collection, Nasogastric tubes, & Enteral Feeding Questions and Correct Answers 2026 Updated.

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Fluid Balance: - Answer - The balance of the fluid we take in and excrete each day - Regulated by: o Kidneys o Mechanisms involving plasma proteins, hormones, nervous system, heart, and blood vessels - Balance of fluids and electrolytes are closely linked - Body fluids include: o Intracellular fluid o Extracellular fluid § Intravascular space: plasma § Interstitial space: fluid between cells § Transcellular space: CSF, fluid in GI tract, intraocular fluid, fluid in pleural & pericardial spaces, etcetera Disorders of Fluid Balance: - Hypovolemia: - Answer o Excessive loss of ECF and electrolytes o Results in low circulating blood volume o Happens with burns, hemorrhage, shock, sepsis, vasodilation Disorders of Fluid Balance: Dehydration - Answer o deficit of water only, where water intake is less than water loss o Happens with excessive sweating, GI losses, ↓ access to water Disorders of Fluid Balance: Hypervolemia - Answer o Too much ECF fluid, especially in intravascular space o Happens with renal or heart failure, liver cirrhosis, too much IV fluid Disorders of Fluid Balance: Third Spacing - Answer o Movement of fluid into body compartments that aren't usually involved in the fluid exchange between ICF & ECF o For example, ascites in abdominal cavity

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CNUR 103: Week 8; Urinary
Catheterization, Specimen Collection,
Nasogastric tubes, & Enteral Feeding
Questions and Correct Answers 2026
Updated.
Fluid Balance: - Answer - The balance of the fluid we take in and excrete each day

- Regulated by:

o Kidneys

o Mechanisms involving plasma proteins, hormones, nervous system, heart, and blood vessels

- Balance of fluids and electrolytes are closely linked

- Body fluids include:

o Intracellular fluid

o Extracellular fluid

§ Intravascular space: plasma

§ Interstitial space: fluid between cells

§ Transcellular space: CSF, fluid in GI tract, intraocular fluid, fluid in pleural & pericardial spaces,
etcetera



Disorders of Fluid Balance: - Hypovolemia: - Answer o Excessive loss of ECF and electrolytes

o Results in low circulating blood volume

o Happens with burns, hemorrhage, shock, sepsis, vasodilation



Disorders of Fluid Balance: Dehydration - Answer o deficit of water only, where water intake
is less than water loss

o Happens with excessive sweating, GI losses, ↓ access to water



Disorders of Fluid Balance: Hypervolemia - Answer o Too much ECF fluid, especially in
intravascular space

o Happens with renal or heart failure, liver cirrhosis, too much IV fluid

, Signs of Fluid Imbalance: Eyes - Answer Fluid Volume Deficit:

Sunken, dry conjunctivae, decreased tearing.

Fluid Volume Excess

Periorbital edema, blurred vision, papilledema (swelling of optic disc)



Signs of Fluid Imbalance: Mouth - Answer Fluid Volume Deficit: Sticky, dry mucous
membrane; dry, cracked lips; decreased saliva; increased saliva viscosity; shrunken tongue.

Fluid Volume Excess: Excess saliva



Signs of Fluid Imbalance: Skin - Answer Fluid Volume Deficit: Increased skin temperature;
dry, scaly skin; poor turgor.

Fluid Volume Excess: Excess Saliva



Signs of Fluid Imbalance: Cardiovascular - Answer Fluid Volume Deficit: Tachycardia; weak
pulse; hypotension; slow cap refill; increased hct; flat neck veins.

Fluid Volume Excess: Bounding pulses; third heart sound (S3); distended neck veins



Signs of Fluid Imbalance: Gastrointestinal - Answer Fluid Volume Deficit: Sunken abdomen,
vomiting, diarrhea, abdominal cramps.

Fluid Volume Excess: Vomiting, diarrhea, abdominal cramps



Signs of Fluid Imbalance: Renal - Answer Fluid Volume Deficit: Oliguria or anuria; increased
urine specific gravity.

Fluid Volume Excess: Decreased urine specific gravity, diuresis (if normal renal function)



Monitoring Intake & Output - Answer - Important for assessment of fluid and electrolyte
balance of patients

- Intake: oral liquids, enteral feedings, parenteral fluids (IV fluids, blood products, Total
Parenteral Nutrition (TPN)), etc

- Output: urine, diarrhea, vomitus, gastric (NG) suction, drainage from surgical tubes or drains,
etc

- Monitored each shift to see if there is a net loss or net gain of fluids (intake and output should
be about equal)

- Compare 24-hour totals over several days

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