corrEct aNsWErs aLrEady GradEd a+.
Which diagnostic tests are used to identify altered fluid balance in the
body? Select all that apply.
Complete blood count
Urine and serum osmolality
Blood culture and sensitivity
Comprehensive metabolic panel
Colonoscopy - CORRECT DETAILED ANSWER-Complete blood count
Urine and serum osmolality
Comprehensive metabolic panel
The nurse is caring for a client with fluid volume excess. Which
medication will help the body excrete the excess fluid?
Metoprolol
Tamsulosin
,Verapamil
Furosemide - CORRECT DETAILED ANSWER-Furosemide
The nurse is caring for a client who presents to the emergency
department with shortness of breath. Assessment findings include
crackles heard in lower lung fields, tachycardia, hypertension, and
oliguria. Which fluid imbalance is the client most likely experiencing?
Fluid volume deficit
Renal failure
Dehydration
Fluid volume excess - CORRECT DETAILED ANSWER-Fluid volume excess
The nurse is caring for several clients with altered fluid balance.
Which diagnostic tests can determine if a client's condition is
worsening or improving? Select all that apply.
Chest x-ray
Comprehensive metabolic panel (CMP)
Urine culture and sensitivity
Complete blood count (CBC)
Fasting blood glucose test - CORRECT DETAILED ANSWER-Chest x-ray
,Comprehensive metabolic panel (CMP)
Complete blood count (CBC)
The client with fluid volume deficit has been receiving 0.9% sodium
chloride intravenous (IV) infusion at 150 ml/hr for the past 4 hours.
Which assessment finding indicates that the client is developing fluid
volume overload?
Poor skin turgor over the front of the chest under the collarbone
Capillary refill of the left great toe less than 3 seconds Crackles heard
with auscultation of the lower lung fields
Blood pressure 85/45 mmHg - CORRECT DETAILED ANSWER-Crackles heard
with auscultation of the lower lung fields
A nurse is caring for a client in the emergency department.
Review the electronic health record (EHR).
Past medical history: Heart failure, ex-smoker (15 pack years)
Past surgical history: Coronary artery bypass graft x 4 (5 years ago)
Prescribed medications:
, furosemide 20 mg by mouth once daily lisinopril 25 mg by
mouth once daily atorvastatin 25 mg by mouth once daily at
bedtime albuterol INH every 4 hours as needed for shortness
of breath aspirin 80 mg by mouth once daily famotidine 20 mg
by mouth once daily Over-the-counter medications:
vitamin C 1000 mg by mouth once daily
Pulse: 115 beats per minute
Blood pressure: 150/89 mmHg (left arm)
Respirations: 32 breaths per minute Oxygen
saturation: 85% on room air
Temperature: 99.5 °F (37.2 °C) (oral)
The client is most likely experiencing fluid volume
(deficit/excess) - CORRECT DETAILED ANSWER-The client is most likely
experiencing fluid volume excess
A nurse is caring for a client in the emergency department.
Review the electronic health record (EHR).
Select the information from the History & Physical and Vital Signs
sections of the EHR that indicates the client may be experiencing fluid
volume excess.