ADULT HEALH 1 QUIZ 1 WITH
QUESTIONS AND WELL VERIFIED
ANSWERS [ACTUAL 100%]
,
, Adult Health 1 Quiz 1
Fluid imbalances
• Fluid volume deficit/ Hypovolemia/ Dehydration
o Risk factors/Causes
▪ Excessive GI loss: vomiting, NG suctioning, diarrhea
▪ Excessive skin loss: diaphoresis without water and sodium
replacement
▪ Excessive renal system losses: polyuria, diuretic
therapy, kidney disease, adrenal insufficiency
▪ Third spacing: burns
▪ Hemorrhage or plasma loss
▪ Altered intake: anorexia, nausea, impaired
swallowing, confusion, NPO (decreased intake and
sodium)
o Clinical manifestations
▪ Hypotension (orthostatic)
▪ HR will be tachycardic and thready
▪ Temperature will be decreased
▪ Dizziness
▪ Syncope
▪ Confusion
▪ Fatigue
▪ Furrow tongue (cracked)
▪ Dry mucous membrane
▪ Oliguria (less than 30ml/hour)
▪ Diminished capillary refill
▪ Sunken eyeballs
▪ Flattened neck veins
▪ Poor skin turgor
o Labs
▪ Low Hgb (Normal 12 -16 for women; 13-17 for men)
▪ High SG (Normal 1.010 – 1.030) T
▪ BUN will be higher than 20 (Normal 10-20) T
▪ Increased Hct (Normal 36-44% for women; 41-50% for men)
T
▪ Increased blood osmolarity T
▪ Specific Gravity T
o Nursing Interventions
▪ Assess for clinical manifestations of FVD
▪ Monitor weight and VS, including temperature
▪ Assess skin turgor
▪ Monitor fluid I&O
▪ Monitor lab findings
▪ Administer oral and IV fluids as indicated
▪ Provide frequent mouth care
▪ Implement measures to prevent skin breakdown
QUESTIONS AND WELL VERIFIED
ANSWERS [ACTUAL 100%]
,
, Adult Health 1 Quiz 1
Fluid imbalances
• Fluid volume deficit/ Hypovolemia/ Dehydration
o Risk factors/Causes
▪ Excessive GI loss: vomiting, NG suctioning, diarrhea
▪ Excessive skin loss: diaphoresis without water and sodium
replacement
▪ Excessive renal system losses: polyuria, diuretic
therapy, kidney disease, adrenal insufficiency
▪ Third spacing: burns
▪ Hemorrhage or plasma loss
▪ Altered intake: anorexia, nausea, impaired
swallowing, confusion, NPO (decreased intake and
sodium)
o Clinical manifestations
▪ Hypotension (orthostatic)
▪ HR will be tachycardic and thready
▪ Temperature will be decreased
▪ Dizziness
▪ Syncope
▪ Confusion
▪ Fatigue
▪ Furrow tongue (cracked)
▪ Dry mucous membrane
▪ Oliguria (less than 30ml/hour)
▪ Diminished capillary refill
▪ Sunken eyeballs
▪ Flattened neck veins
▪ Poor skin turgor
o Labs
▪ Low Hgb (Normal 12 -16 for women; 13-17 for men)
▪ High SG (Normal 1.010 – 1.030) T
▪ BUN will be higher than 20 (Normal 10-20) T
▪ Increased Hct (Normal 36-44% for women; 41-50% for men)
T
▪ Increased blood osmolarity T
▪ Specific Gravity T
o Nursing Interventions
▪ Assess for clinical manifestations of FVD
▪ Monitor weight and VS, including temperature
▪ Assess skin turgor
▪ Monitor fluid I&O
▪ Monitor lab findings
▪ Administer oral and IV fluids as indicated
▪ Provide frequent mouth care
▪ Implement measures to prevent skin breakdown
