NU373 Week 1 EAQ Evolve Elsevier Fluids And
Electrolytes Questions And Answers
Which assessment finding of a client with heart failure would prompt the nurse to contact the health care
provider? Select all that apply.
o Fatigue
o Orthopnea
o Pitting edema
o Dry hacking cough
o 4-pound weight gain
o Fatigue
o Orthopnea
o Pitting edema
o Dry hacking cough
o 4-pound weight gain
· Signs of worsening heart failure include fatigue, weakness, and difficulty breathing when lying flat
(orthopnea). Other manifestations include pitting edema, weight gain, and a dry, hacking cough.
The client with congestive heart failure is receiving furosemide 80 mg once daily. Which data collection
assessment would be performed to evaluate medication effectiveness? Select all that apply.
o Daily weight
o Intake and output
o Monitor for edema
o Daily pulse oximetry
o Auscultate breath sounds
o Daily weight
o Intake and output
o Monitor for edema
o Daily pulse oximetry
o Auscultate breath sounds
· Daily weight at the same time, on the same scale, and in the same clothing is important as it is an indication
of fluid gains or losses. The nurse would also record daily intake and output and report intake exceeding
output. The nurse would monitor for peripheral edema and document the findings. It is important to obtain and
record vital signs and daily pulse oximetry as improving results relate to effectiveness of furosemide. The nurse
would also auscultate breath sounds, look for jugular venous distension, and report abnormal data.
,Which action would the nurse include in the plan of care for a client admitted with heart failure who has
gained 20 pounds in 3 weeks? Select all that apply.
o Diuretics
o Low-salt diet
o Daily weight checks
o Fluid restriction
o Intake and output
o Diuretics
o Low-salt diet
o Daily weight checks
o Fluid restriction
o Intake and output
o Oxygen administration
· Interventions for a client with heart failure who has sustained a 20-pound weight gain would be focused on
decreasing fluid retention. Interventions could include diuretic administration to increase fluid removal; a low-
salt diet with fluid restriction; daily weight checks and measuring intake/output; and oxygen administration,
particularly if the client has fluid in the lungs.
The nurse is caring for a client who is having diarrhea. Which client data would the nurse closely monitor to
prevent an adverse outcome?
o Skin condition
o Fluid and electrolyte balance
o Food intake
o Fluid intake and output
o Fluid and electrolyte balance
· Monitoring fluid and electrolyte balance is the most important nursing intervention because excess loss of
fluid through the multiple loose bowel movements associated with diarrhea lead to alteration in fluid and
electrolyte imbalance. Although skin may become excoriated with diarrhea, this is not a life-threatening
condition and is not the nursing priority. Even though absorption of nutrients is decreased with diarrhea
malnutrition, it is not a life-threatening condition and is not the priority nursing intervention. Fluid intake and
output provides information about fluid balance only, without taking into consideration the loss of electrolytes
that accompanies diarrhea and is not the best choice.
, A client is admitted with severe diarrhea that resulted in hypokalemia. The nurse would monitor for which
clinical manifestations of the electrolyte deficiency? Select all that apply.
o Diplopia
o Skin rash
o Leg cramps
o Tachycardia
o Muscle weakness
o Leg cramps
o Muscle weakness
· Leg cramps occur with hypokalemia because of potassium deficit. Muscle weakness occurs with hypokalemia
because of the alteration in the sodium potassium pump mechanism. Diplopia does not indicate an electrolyte
deficit. A skin rash does not indicate an electrolyte deficit. Tachycardia is not associated with hypokalemia;
bradycardia is.
An older adult client who is receiving chemotherapy for cancer has severe nausea and vomiting and becomes
dehydrated. The client is admitted to the hospital for rehydration therapy. Which nursing actions have specific
gerontological implications the nurse must consider? Select all that apply.
o Assessment of skin turgor
o Documentation of vital signs
o Assessment of intake and output
o Administration of antiemetic medications
o Replacement of fluid and electrolytes
o Assessment of skin turgor
o Administration of antiemetic medications
o Replacement of fluid and electrolytes
· When skin turgor is assessed, the presence of tenting may be related to loss of subcutaneous tissue associated
with aging rather than to dehydration; skin over the sternum should be used instead of skin on the arm for
checking turgor. Older adults are susceptible to central nervous system side effects, such as confusion,
associated with antiemetic medications; dosages must be reduced, and responses must be evaluated closely.
Because many older adults have delicate fluid balance and may have cardiac and renal disease, replacement
of fluid and electrolytes may result in adverse consequences, such as hypervolemia, pulmonary edema, and
electrolyte imbalance. Vital signs can be obtained as with any other adult. Intake and output can be measured
accurately in older adults.
The nurse pulls up on the client’s skin and releases it to determine whether the skin returns immediately to its
original position. Which is the nurse assessing for?
o Pain tolerance
o Skin turgor
Electrolytes Questions And Answers
Which assessment finding of a client with heart failure would prompt the nurse to contact the health care
provider? Select all that apply.
o Fatigue
o Orthopnea
o Pitting edema
o Dry hacking cough
o 4-pound weight gain
o Fatigue
o Orthopnea
o Pitting edema
o Dry hacking cough
o 4-pound weight gain
· Signs of worsening heart failure include fatigue, weakness, and difficulty breathing when lying flat
(orthopnea). Other manifestations include pitting edema, weight gain, and a dry, hacking cough.
The client with congestive heart failure is receiving furosemide 80 mg once daily. Which data collection
assessment would be performed to evaluate medication effectiveness? Select all that apply.
o Daily weight
o Intake and output
o Monitor for edema
o Daily pulse oximetry
o Auscultate breath sounds
o Daily weight
o Intake and output
o Monitor for edema
o Daily pulse oximetry
o Auscultate breath sounds
· Daily weight at the same time, on the same scale, and in the same clothing is important as it is an indication
of fluid gains or losses. The nurse would also record daily intake and output and report intake exceeding
output. The nurse would monitor for peripheral edema and document the findings. It is important to obtain and
record vital signs and daily pulse oximetry as improving results relate to effectiveness of furosemide. The nurse
would also auscultate breath sounds, look for jugular venous distension, and report abnormal data.
,Which action would the nurse include in the plan of care for a client admitted with heart failure who has
gained 20 pounds in 3 weeks? Select all that apply.
o Diuretics
o Low-salt diet
o Daily weight checks
o Fluid restriction
o Intake and output
o Diuretics
o Low-salt diet
o Daily weight checks
o Fluid restriction
o Intake and output
o Oxygen administration
· Interventions for a client with heart failure who has sustained a 20-pound weight gain would be focused on
decreasing fluid retention. Interventions could include diuretic administration to increase fluid removal; a low-
salt diet with fluid restriction; daily weight checks and measuring intake/output; and oxygen administration,
particularly if the client has fluid in the lungs.
The nurse is caring for a client who is having diarrhea. Which client data would the nurse closely monitor to
prevent an adverse outcome?
o Skin condition
o Fluid and electrolyte balance
o Food intake
o Fluid intake and output
o Fluid and electrolyte balance
· Monitoring fluid and electrolyte balance is the most important nursing intervention because excess loss of
fluid through the multiple loose bowel movements associated with diarrhea lead to alteration in fluid and
electrolyte imbalance. Although skin may become excoriated with diarrhea, this is not a life-threatening
condition and is not the nursing priority. Even though absorption of nutrients is decreased with diarrhea
malnutrition, it is not a life-threatening condition and is not the priority nursing intervention. Fluid intake and
output provides information about fluid balance only, without taking into consideration the loss of electrolytes
that accompanies diarrhea and is not the best choice.
, A client is admitted with severe diarrhea that resulted in hypokalemia. The nurse would monitor for which
clinical manifestations of the electrolyte deficiency? Select all that apply.
o Diplopia
o Skin rash
o Leg cramps
o Tachycardia
o Muscle weakness
o Leg cramps
o Muscle weakness
· Leg cramps occur with hypokalemia because of potassium deficit. Muscle weakness occurs with hypokalemia
because of the alteration in the sodium potassium pump mechanism. Diplopia does not indicate an electrolyte
deficit. A skin rash does not indicate an electrolyte deficit. Tachycardia is not associated with hypokalemia;
bradycardia is.
An older adult client who is receiving chemotherapy for cancer has severe nausea and vomiting and becomes
dehydrated. The client is admitted to the hospital for rehydration therapy. Which nursing actions have specific
gerontological implications the nurse must consider? Select all that apply.
o Assessment of skin turgor
o Documentation of vital signs
o Assessment of intake and output
o Administration of antiemetic medications
o Replacement of fluid and electrolytes
o Assessment of skin turgor
o Administration of antiemetic medications
o Replacement of fluid and electrolytes
· When skin turgor is assessed, the presence of tenting may be related to loss of subcutaneous tissue associated
with aging rather than to dehydration; skin over the sternum should be used instead of skin on the arm for
checking turgor. Older adults are susceptible to central nervous system side effects, such as confusion,
associated with antiemetic medications; dosages must be reduced, and responses must be evaluated closely.
Because many older adults have delicate fluid balance and may have cardiac and renal disease, replacement
of fluid and electrolytes may result in adverse consequences, such as hypervolemia, pulmonary edema, and
electrolyte imbalance. Vital signs can be obtained as with any other adult. Intake and output can be measured
accurately in older adults.
The nurse pulls up on the client’s skin and releases it to determine whether the skin returns immediately to its
original position. Which is the nurse assessing for?
o Pain tolerance
o Skin turgor
