ATI Nursing: A Concept-Based Approach to Learning Vol. 1 & 2, 3e (Pearson) Fluids and Electrolytes Test Bank 2024
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Course
Nursing ati
Institution
Nursing Ati
1) The nurse on a medical-surgical unit completes the shift assessment for a client diagnosed with a multisystem fluid volume deficit. In the assessment, the nurse documents that the client is experiencing tachycardia, decreased urine output, and pale, cool skin. Based on this information, which sh...
1. The nurse is teaching older adult patients how to prevent fluid volume
deficit.
Which information should the nurse include?
A. "Avoid extreme temperatures."
B. "Decrease fluid intake."
C. "Increase sodium in the diet."
D. "Take diuretics daily.": Answer: A
Exposure to extreme temperatures such as heat can cause the patient to sweat
and experience insensible fluid loss. Decreasing the amount of fluid intake and
taking diuretics will cause fluid loss. Increasing sodium in the diet will cause fluid
volume excess.
2. A nurse is assessing a patient with fluid volume overload.
, Pearson Fluid and Electrolytes
Which mechanism should the nurse understand assists in the regulation of
body fluids?
A. Erythropoietin release from the kidney
B. Suppression of epinephrine from the adrenal gland
C. Renin-angiotensin-aldosterone pathway
D. Release of cortisol from the adrenal gland: Answer: C
The renin-angiotensin-aldosterone pathway is one of the mechanisms used to
maintain fluid balance in the body. Cortisol and epinephrine are stress hormones
that are not related to the maintenance of body fluids. Erythropoiesis is the
process to stimulate red blood cell production. This process would be stimulated
to increase oxygenation but not to maintain the balance of body fluids.
3. A nurse is unable to secure an intravenous access site due to severe
dehydration.
, Pearson Fluid and Electrolytes
Which prescription should the nurse expect to replace this patient's fluid
deficit?
A. "Administer diuretics."
B. "Administer fluids via hypodermoclysis."
C. "Administer oral fluid replacement."
D. "Administer sodium supplements.": Answer: B
When IV access is problematic, fluids can be administered subcutaneously, using
a method called hypodermoclysis. Diuretics are used to treat fluid volume excess,
not dehydration. Oral fluid replacement is ordered for mild dehydration, not severe
dehydration. Fluid replacement, not sodium supplements, would be anticipated.
4. The nurse is teaching a patient about oral fluid volume replacement.
Which fluid should the patient be advised to avoid?
A. Coffee
B. Milk
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