1. The nurse is caring for a client who has a fluid volume deficit. The nurse recognizes
which of the following as a manifestation of fluid volume defiicit?
A. Acute weight loss of less than or equal to 5%
B. Chest tightness and shortness of ait
C. Postural hypertension
D. Low urine specific gravity
2. The nurse is caring for a client admitted with clinical dehydration. Which of the following
manifestations should the nurse expect to see in the client?
A. Hypertension
B. Buldging eyes
C. Dry mucous membranes p. 529 Box 24.5
D. Edema
3. The nurse is teaching a newly hired nurse about extracellular fluid components. Which
of the following statements by the newly hired nurse indicates a correct understanding of the
teaching?
A. Extracellular fluid is rich in potassium, magnesium and phosphorus
B. Examples of extracellular fluids include intravascular, interstitial and transcellular
values p. 522 under body fluid homeostasis
C. Fluid volume excess is seen in clients who are on extensive bed rest
D. Homeostasis is achieved when there is an equal composition of electrolytes in
all fluid components
4. The nurse has attended a conference on fluid volume excess and edema. It would
indicate a correct understanding of the conference if the nurse states. “Edema occurs by
A. Leakage of vascular fluid into the interstitial fluid, which increases interstitial fluid
hydrostatic pressure P. 529 paragraph just above key points and last paragraph in
key points
B. Altering the negative charge on the capillary basement membrane, which
enables excessive fluid to accumulate in the interstitial compartment
C. Allowing plasma proteins to leak into the interstitial fluid, which draws in excess
fluid by increasing interstitial fluid osmotic pressure - test bank
D. Movement of fluid from the vascular compartment into the intracellular
compartment, which leads to cell swelling
, 5. The nurse working on a medical-surgical unit is caring for a 70 year old client. Which of
the following statements by the nurse indicates a correct understanding of the water in an
older adults body?
A. It is decreased because of increased adipose tissue and decreased muscle
mass
B. It is increased because of decreased renal function and hormonal fluctuations
C. It is decreased because of renal changes that cause diuresis with sodium
excretion p. 537 Geriatric considerations at bottom of page
D. It is increased because of decreased adipose tissue and decreased bone mass
6. The nurse preceptor is talking with a newly hired nurse about ways in which a client can
have electrolyte loss. It regulates further teaching by the nurse preceptor if the newly hired
nurse listed that electrolyte excretion occurs through
A. Lymph p. 531 electrolyte excretion and abnormal routes
B. Vomitus
C. Urine
D. Feces
7. The nurse has attended a conference about electrolyte imbalances. The nurse learns
that both hypokalemia and hyperkalemia have similar manifestations. Which of the following
manifestations listed by the nurse requires additional teaching
A. Cardiac dysrhythmia
B. Abdominal distention
C. Elevated body temperature p. 532
D. Muscle weakness
8. The nurse is caring for a client who has a sodium imbalance. The nurse understands
the manifestations from sodium imbalances occur primarily due to
A. Hypervolemia
B. Cellular fluid shifts p. 526Body Fluid Concentration
C. Hyperosmolarity
D. Vascular changes
9. The nurse is caring for a client who has developed a sodium level of 128 mEq/L. Which
of the following should the nurse recognize as contributing to this clients sodium level?
which of the following as a manifestation of fluid volume defiicit?
A. Acute weight loss of less than or equal to 5%
B. Chest tightness and shortness of ait
C. Postural hypertension
D. Low urine specific gravity
2. The nurse is caring for a client admitted with clinical dehydration. Which of the following
manifestations should the nurse expect to see in the client?
A. Hypertension
B. Buldging eyes
C. Dry mucous membranes p. 529 Box 24.5
D. Edema
3. The nurse is teaching a newly hired nurse about extracellular fluid components. Which
of the following statements by the newly hired nurse indicates a correct understanding of the
teaching?
A. Extracellular fluid is rich in potassium, magnesium and phosphorus
B. Examples of extracellular fluids include intravascular, interstitial and transcellular
values p. 522 under body fluid homeostasis
C. Fluid volume excess is seen in clients who are on extensive bed rest
D. Homeostasis is achieved when there is an equal composition of electrolytes in
all fluid components
4. The nurse has attended a conference on fluid volume excess and edema. It would
indicate a correct understanding of the conference if the nurse states. “Edema occurs by
A. Leakage of vascular fluid into the interstitial fluid, which increases interstitial fluid
hydrostatic pressure P. 529 paragraph just above key points and last paragraph in
key points
B. Altering the negative charge on the capillary basement membrane, which
enables excessive fluid to accumulate in the interstitial compartment
C. Allowing plasma proteins to leak into the interstitial fluid, which draws in excess
fluid by increasing interstitial fluid osmotic pressure - test bank
D. Movement of fluid from the vascular compartment into the intracellular
compartment, which leads to cell swelling
, 5. The nurse working on a medical-surgical unit is caring for a 70 year old client. Which of
the following statements by the nurse indicates a correct understanding of the water in an
older adults body?
A. It is decreased because of increased adipose tissue and decreased muscle
mass
B. It is increased because of decreased renal function and hormonal fluctuations
C. It is decreased because of renal changes that cause diuresis with sodium
excretion p. 537 Geriatric considerations at bottom of page
D. It is increased because of decreased adipose tissue and decreased bone mass
6. The nurse preceptor is talking with a newly hired nurse about ways in which a client can
have electrolyte loss. It regulates further teaching by the nurse preceptor if the newly hired
nurse listed that electrolyte excretion occurs through
A. Lymph p. 531 electrolyte excretion and abnormal routes
B. Vomitus
C. Urine
D. Feces
7. The nurse has attended a conference about electrolyte imbalances. The nurse learns
that both hypokalemia and hyperkalemia have similar manifestations. Which of the following
manifestations listed by the nurse requires additional teaching
A. Cardiac dysrhythmia
B. Abdominal distention
C. Elevated body temperature p. 532
D. Muscle weakness
8. The nurse is caring for a client who has a sodium imbalance. The nurse understands
the manifestations from sodium imbalances occur primarily due to
A. Hypervolemia
B. Cellular fluid shifts p. 526Body Fluid Concentration
C. Hyperosmolarity
D. Vascular changes
9. The nurse is caring for a client who has developed a sodium level of 128 mEq/L. Which
of the following should the nurse recognize as contributing to this clients sodium level?
