NURSING 105 FINAL EXAM STUDY
GUIDE QUESTIONS AND CORRECT
ANSWERS
ClinicalA2ManifestationsA2forA2DehydrationA2-A2Ans--*IncreasedA2thirst
*DryA2mouthA2andA2swollenA2tongue
*WeaknessA2
*Dizziness
*PalpitationsA2(feelingA2thatA2theA2heartA2isA2jumpingA2orA2pounding
*Confusion
*SluggishnessA2faintingA2
*DecreasedA2urineA2outputA2
*ChangesA2inA2mentalA2status
*Kidney
*EndocrineA2(poorA2regulationA2ofA2sodiumA2andA2potassium
*Nausea
*Vomiting
AssesssmentA2findingsA2forA2DehydrationA2-A2Ans--*PulmonaryA2edema
*PoorA2skinA2turgorA2(checkA2forA2skinA2turgorA2onA2theA2chestA2andA2theA2forehead)
*WeightA2loss
*ReducedA2urineA2output
*CardiovascularA2changesA2(heartA2rateA2increases)
*RespiratoryA2changesA2(increasedA2rate)
*PeripheralA2pulsesA2weak
*HypotensionA2whileA2standing
*KidneyA2changes
*NeurologicA2changesA2(confusion)
*NeckA2VeinA2Distention
RiskA2factorsA2forA2dehydrationA2-A2Ans--
*OlderA2adultsA2areA2unableA2toA2obtainA2fluidsA2withoutA2help
*OlderA2patientsA2haveA2lessA2totalA2bodyA2waterA2thanA2youngerA2adultsA2
*DecreasedA2thirstA2sensation
*Diuretics
*Antihypertensives
*Laxatives
NursingA2InterventionsA2forA2DehydrationA2-A2Ans--PatientA2SafetyA2
FluidA2ReplacementA2
DrugA2TherapyA2(OralA2orA2IVA2fluidA2replacement)
,BestA2IndicatorA2forA2fluidA2volumeA2lossA2-A2Ans--
DailyA2WeightA2(sameA2timeA2everyA2day)
PatientA2TeachingA2forA2DehydrationA2-A2Ans--
DrinkA2moreA2fluids,A2mainlyA2water,A2matchingA2fluidA2intakeA2withA2fluidA2output
ClinicalA2ManifestationsA2ofA2HypokalemiaA2-A2Ans--DiureticsA2
Digitalis
CorticosteroidsA2
DiarrheaA2
Vomiting
ProlongedA2nasogastricA2suction
NPO
AssessmentA2FindingsA2forA2HypokalemiaA2-A2Ans--Respiratory
MusculoskeletalA2
Cardiovascular
NeurologicA2
Intestinal
*AllA2ofA2theseA2conditionsA2areA2weakened
InterventionsA2forA2HypokalemiaA2-A2Ans--DrugA2Therapy:
*PotassiumA2viaA2IVA2isA2givenA2forA2moreA2severe
*OralA2potassiumA2isA2givenA2asA2aA2liquidA2orA2solidA2
*DrugsA2givenA2areA2Aldactone,A2Novospiroton,A2Dyrenium,Midamor
NutritionA2Therapy:
*TeachA2patientA2howA2toA2increaseA2potassiumA2intake
*EatA2foodsA2thatA2areA2naturallyA2richA2inA2potassiumA2toA2preventA2furtherA2lossA2
SafetyA2Measures:
*FallA2precautionsA2
RespiratoryA2Monitoring:
PulseA2oximetryA2(O2A2Sat)
HypocalcemiaA2-A2Ans--LowA2calciumA2levelsA2(belowA29.0A2mg/dl)
ClinicalA2ManifestationsA2ofA2HypocalcemiaA2-A2Ans--
InadequateA2oralA2intakeA2ofA2calcium
LactoseA2intoleranceA2
InadequateA2intakeA2ofA2VitaminA2D
EndA2StageA2KidneyA2DiseaseA2
DiarrheaA2
WoundA2Drainage
, AssesssmentA2FindingsA2ofA2HypocalcemiaA2-A2Ans--*NeuromuscularA2changesA2-
A2ParesthesiasA2occurA2withA2sensationsA2ofA2tinglingA2andA2numbness
*CardivascularA2changesA2-
A2HeartA2rateA2increaseA2orA2decreaseA2withA2weakA2threadingA2pulse
*IntestinalA2changesA2-A2AbdominalA2crampingA2orA2diarrheaA2
*SkeletalA2changesA2-A2Osteoporosis
NursingA2PriorityA2forA2HypocalcemiaA2-A2Ans--
*DrugA2Therapy:A2CalciumA2replacementA2oralA2andA2IV
*NutritionA2Therapy:A2HighA2CalciumA2Diet
*ReducingA2environmentalA2stimuli
*PreventingA2Injury
NursingA2InterventionsA2ofA2MetabolicA2AcidosisA2-A2Ans--*Hydration
*BicarbonateA2administeredA2ifA2serumA2bicarbonateA2levelsA2areA2lowA2
*MonitorA2patientA2Continously
ClinicalA2ManifestationsA2ofA2FluidA2VolumeA2OverloadA2-A2Ans--PulmonaryA2edema
BoundingA2pulse
IncreasingA2neckA2distention
CracklesA2inA2lungs
IncreasingA2peripheralA2edema
ReducedA2urineA2output
DrugA2PrescribedA2forA2FluidA2OverloadA2-A2Ans--DiureticA2(Lasix,A2Foroside)
NutritionA2TherapyA2forA2FluidA2OverloadA2-A2Ans--
RestrictionsA2ofA2bothA2fluidA2andA2sodiumA2intake
FoodsA2HighA2inA2SodiumA2-A2Ans--DairyA2products
ProcessedA2orA2preservedA2foods
SnackA2foods
ManyA2condiments
FoodsA2LowA2inA2SodiumA2-A2Ans--Fish
MostA2freshA2fruitsA2andA2vegetables
BuffersA2-A2Ans--
*CanA2actA2eitherA2asA2anA2acidA2(releasingA2hydrogenA2ion)A2orA2asA2aA2baseA2(bindingA2
hydrogenA2ions)
*IfA2theA2fluidA2isA2basicA2(withA2fewA2freeA2hydrogenA2ions),A2theA2bufferA2bindsA2someA2of
A2theA2excessA2hydrogenA2ions>
MetabolicA2AcidosisA2-A2Ans--
*AA2conditionA2thatA2occursA2whenA2theA2bodyA2producesA2excessiveA2quantitiesA2ofA2acid
A2orA2whenA2theA2kidneysA2areA2notA2removingA2enoughA2acidA2fromA2theA2body
GUIDE QUESTIONS AND CORRECT
ANSWERS
ClinicalA2ManifestationsA2forA2DehydrationA2-A2Ans--*IncreasedA2thirst
*DryA2mouthA2andA2swollenA2tongue
*WeaknessA2
*Dizziness
*PalpitationsA2(feelingA2thatA2theA2heartA2isA2jumpingA2orA2pounding
*Confusion
*SluggishnessA2faintingA2
*DecreasedA2urineA2outputA2
*ChangesA2inA2mentalA2status
*Kidney
*EndocrineA2(poorA2regulationA2ofA2sodiumA2andA2potassium
*Nausea
*Vomiting
AssesssmentA2findingsA2forA2DehydrationA2-A2Ans--*PulmonaryA2edema
*PoorA2skinA2turgorA2(checkA2forA2skinA2turgorA2onA2theA2chestA2andA2theA2forehead)
*WeightA2loss
*ReducedA2urineA2output
*CardiovascularA2changesA2(heartA2rateA2increases)
*RespiratoryA2changesA2(increasedA2rate)
*PeripheralA2pulsesA2weak
*HypotensionA2whileA2standing
*KidneyA2changes
*NeurologicA2changesA2(confusion)
*NeckA2VeinA2Distention
RiskA2factorsA2forA2dehydrationA2-A2Ans--
*OlderA2adultsA2areA2unableA2toA2obtainA2fluidsA2withoutA2help
*OlderA2patientsA2haveA2lessA2totalA2bodyA2waterA2thanA2youngerA2adultsA2
*DecreasedA2thirstA2sensation
*Diuretics
*Antihypertensives
*Laxatives
NursingA2InterventionsA2forA2DehydrationA2-A2Ans--PatientA2SafetyA2
FluidA2ReplacementA2
DrugA2TherapyA2(OralA2orA2IVA2fluidA2replacement)
,BestA2IndicatorA2forA2fluidA2volumeA2lossA2-A2Ans--
DailyA2WeightA2(sameA2timeA2everyA2day)
PatientA2TeachingA2forA2DehydrationA2-A2Ans--
DrinkA2moreA2fluids,A2mainlyA2water,A2matchingA2fluidA2intakeA2withA2fluidA2output
ClinicalA2ManifestationsA2ofA2HypokalemiaA2-A2Ans--DiureticsA2
Digitalis
CorticosteroidsA2
DiarrheaA2
Vomiting
ProlongedA2nasogastricA2suction
NPO
AssessmentA2FindingsA2forA2HypokalemiaA2-A2Ans--Respiratory
MusculoskeletalA2
Cardiovascular
NeurologicA2
Intestinal
*AllA2ofA2theseA2conditionsA2areA2weakened
InterventionsA2forA2HypokalemiaA2-A2Ans--DrugA2Therapy:
*PotassiumA2viaA2IVA2isA2givenA2forA2moreA2severe
*OralA2potassiumA2isA2givenA2asA2aA2liquidA2orA2solidA2
*DrugsA2givenA2areA2Aldactone,A2Novospiroton,A2Dyrenium,Midamor
NutritionA2Therapy:
*TeachA2patientA2howA2toA2increaseA2potassiumA2intake
*EatA2foodsA2thatA2areA2naturallyA2richA2inA2potassiumA2toA2preventA2furtherA2lossA2
SafetyA2Measures:
*FallA2precautionsA2
RespiratoryA2Monitoring:
PulseA2oximetryA2(O2A2Sat)
HypocalcemiaA2-A2Ans--LowA2calciumA2levelsA2(belowA29.0A2mg/dl)
ClinicalA2ManifestationsA2ofA2HypocalcemiaA2-A2Ans--
InadequateA2oralA2intakeA2ofA2calcium
LactoseA2intoleranceA2
InadequateA2intakeA2ofA2VitaminA2D
EndA2StageA2KidneyA2DiseaseA2
DiarrheaA2
WoundA2Drainage
, AssesssmentA2FindingsA2ofA2HypocalcemiaA2-A2Ans--*NeuromuscularA2changesA2-
A2ParesthesiasA2occurA2withA2sensationsA2ofA2tinglingA2andA2numbness
*CardivascularA2changesA2-
A2HeartA2rateA2increaseA2orA2decreaseA2withA2weakA2threadingA2pulse
*IntestinalA2changesA2-A2AbdominalA2crampingA2orA2diarrheaA2
*SkeletalA2changesA2-A2Osteoporosis
NursingA2PriorityA2forA2HypocalcemiaA2-A2Ans--
*DrugA2Therapy:A2CalciumA2replacementA2oralA2andA2IV
*NutritionA2Therapy:A2HighA2CalciumA2Diet
*ReducingA2environmentalA2stimuli
*PreventingA2Injury
NursingA2InterventionsA2ofA2MetabolicA2AcidosisA2-A2Ans--*Hydration
*BicarbonateA2administeredA2ifA2serumA2bicarbonateA2levelsA2areA2lowA2
*MonitorA2patientA2Continously
ClinicalA2ManifestationsA2ofA2FluidA2VolumeA2OverloadA2-A2Ans--PulmonaryA2edema
BoundingA2pulse
IncreasingA2neckA2distention
CracklesA2inA2lungs
IncreasingA2peripheralA2edema
ReducedA2urineA2output
DrugA2PrescribedA2forA2FluidA2OverloadA2-A2Ans--DiureticA2(Lasix,A2Foroside)
NutritionA2TherapyA2forA2FluidA2OverloadA2-A2Ans--
RestrictionsA2ofA2bothA2fluidA2andA2sodiumA2intake
FoodsA2HighA2inA2SodiumA2-A2Ans--DairyA2products
ProcessedA2orA2preservedA2foods
SnackA2foods
ManyA2condiments
FoodsA2LowA2inA2SodiumA2-A2Ans--Fish
MostA2freshA2fruitsA2andA2vegetables
BuffersA2-A2Ans--
*CanA2actA2eitherA2asA2anA2acidA2(releasingA2hydrogenA2ion)A2orA2asA2aA2baseA2(bindingA2
hydrogenA2ions)
*IfA2theA2fluidA2isA2basicA2(withA2fewA2freeA2hydrogenA2ions),A2theA2bufferA2bindsA2someA2of
A2theA2excessA2hydrogenA2ions>
MetabolicA2AcidosisA2-A2Ans--
*AA2conditionA2thatA2occursA2whenA2theA2bodyA2producesA2excessiveA2quantitiesA2ofA2acid
A2orA2whenA2theA2kidneysA2areA2notA2removingA2enoughA2acidA2fromA2theA2body