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NURS 400 F&E Imbalances Questions with complete solutions
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NURS 400 F&E Imbalances Questions with completesolutions
What are disadvantages of IV medication therapy? Correct Answer--
Circulatory fluid overload is possible if the infusion is large or too rapid
-Immediate absorption leaves little time to correct errors
-Infiltration
-IVF administration can irate the lining of the vein
-Failure to maintain surgical asepsis can lead to local or systemic
infection
Advantages of IV medication therapy Correct Answer-▪ Immediate
action
▪ Precise Amount
▪ Constant therapeutic blood levels
▪ Allows use larger volume of fluid for meds
▪ Allow use of irritating meds (ex. Chemo)
1 mg = ? mcg Correct Answer-1,000 mcg
1 oz = ? mL Correct Answer-30 mL
1 tsp = ? mL Correct Answer-5 mL
1 kg = ? lbs Correct Answer-2.2 lbs
,Complications of IV Fluid Therapy Correct Answer-o Infiltration
o Extravasation
Normal value of sodium Correct Answer-136-145
Normal value of chloride Correct Answer-98-106
Normal value of Bicarbonate Correct Answer-22-38
Normal value of Calcium Correct Answer-9 - 10.5
Normal value of Potassium Correct Answer-3.5 - 5
Normal value of Phosphorus Correct Answer-3 - 4.5
Normal value of Magnesium Correct Answer-1.8 - 2.6
Manifestations of FVE Correct Answer-Cardiovascular Changes
● ↑ pulse (bounding pulse)
● Elevated BP
● Distended neck veins
● Elevated central venous pressure
,● Weight gain
Respiratory Changes
● ↑ RR
● Shallow respirations
● Shortness of breath
● Moist crackles present on auscultation
Skin and Mucous Membrane Changes
● Pitting Edema
● Skin pale and cool
Neuromuscular Changes
● AMS
● Headache
Kidney
● Low specific gravity
● Decreased BUN level (indicates artificial dilution)
Manifestations of FVD in INFANTS? Correct Answer-Dehydration
▪ Dry mouth + Tongue
▪ Lack of tears when crying
▪ No wet diapers for 3 hrs.
▪ Sunken eyes and cheeks
▪ Sunken fontanels
▪ Listlessness
, ▪ Irritability
Manifestations of FVD Correct Answer-Cardiovascular changes
● HR increase
● Weak pulses
● BP decreases
● Orthostatic
● Flat veins
Respiratory changes
● Increased RR
Skin Changes
● Poor skin turgor
● Dry/scaly skin
● Dry mucous membranes
Neurologic Changes
● low-grade fever
Kidney Changes
● High specific gravity (usually <1.030)
● Dark amber urine
● Strong odor urine
● Weight loss
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