100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NURS 309 Exam 1 (Fluid and Electrolytes) Questions And Answers. $12.49   Add to cart
Quickly navigate to
Preview
  2.  
  3. NURS 309
  4.  
  5. NURS 309

Exam (elaborations)

NURS 309 Exam 1 (Fluid and Electrolytes) Questions And Answers.
 0 view  0 purchase
  • Course
  • NURS 309
  • Institution
  • NURS 309

NURS 309 Exam 1 (Fluid and Electrolytes) Questions And Answers.NURS 309 Exam 1 (Fluid and Electrolytes) Questions And Answers.NURS 309 Exam 1 (Fluid and Electrolytes) Questions And Answers.NURS 309 Exam 1 (Fluid and Electrolytes) Questions And Answers.NURS 309 Exam 1 (Fluid and Electrolytes) Questi...

[Show more]

Preview 3 out of 20  pages

Document information

  • August 27, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nurs 309 exam 1 fluid and electrolytes questions

Written for

  • NURS 309
  • NURS 309

Seller

avatar-seller
Wisdoms

Reviews received

Content preview

NURS 309 Exam 1 (Fluid and
Electrolytes) Questions And Answers


Assessing rFluid rBalance r- rcorrect rAnswers r✔✔ r-What rdo rwe rlook rat:
-**weight rand rI&Os r
-VS, rCVP r
-Na, rBUN, rHct
-head rto rtoe rassessment r(edema, rturgor, rascites) r

How roften rassess:
-Q8 r(typically) r
-Q1 rif rimbalance rpresent rfor rPt

Serum rOsmolality r- rcorrect rAnswers r✔✔ r-*normal rlevel: r275-300 r

-concentration rof ramount rof rsolutes/chemicals rin rblood

Serum rOsmolality: rHypervolemia rand rHypovolemia r- rcorrect rAnswers
r✔✔ r-Hypervolemia: r(FVE) r

-osmo: rdecreased r(diluted)
-weight: rincreased r
-intake r(increased), routput r(decreased) r

-Increased: rBP, rCVP r
-Decreased: rNa, rBUN, rHct, rcreatinine, rHR, rtemp r

Hypovolemia: r(FVD)
-osmo: rincreased r
-weight: rdecreased r
-intake r(decreased), routput r(increased) r

-Increased: rNa, rBUN, rHct, rcreatinine, rHR, rtemp r
-Decreased: rBP, rCVP

Hypovolemia r(FVD) r- rcorrect rAnswers r✔✔ r-*decreased rwater r(fluid),
rincreased rNa, rincreased rCl r

,Causes:
-vomiting, rdiarrhea
-GI rsuction
-excessive rperspiration r
-NPO ror rdecreased rintake rof rfood r
-third rspacing r(fluid rin rtissue/organs rit rshouldn't rbe) r
-diabetes rinsipidus r
-hyperglycemia r(increased rBS r= rincreased routput) r
-adrenal rinsufficiency r
-hemorrhage r(trauma)
-excessive ruse rof rdiuretics rand rlaxatives r

Signs/Symptoms:
-serum rosmolality r>300 r
-urine rspecific rgravity r>1.020 r(decreased rurine rNa) r
-decreased rurine routput r

-tachycardia, rhypotension, rtachypnea
-flattened rneck rand rhand rveins
-decreased rturgor r
-cool, rclammy rskin, rthirst r

-increased rNa, rBUN, rHct
-decreased rweight, rCVP, rI&Os

Hypovolemia r(FVD) rin rElderly r- rcorrect rAnswers r✔✔ r--higher rrisk rd/t
rdecreased rbody rmass rand rrenal rfunction rand rincreased rbody rfat r



-decreased rability rto rconcentrate rurine r(color rdoesn't rshow rgood restimate rof
rhydration) r
-decreased rcardiac rand rlung rfunction r
-disturbances rin rhormonal rfunction r
-decreased rthirst r

-confusion rand rcognitive rdysfunction r(dehydration rand rUTIs) r
-S/S rcan rbe rsubtle/asymptomatic r(check rvenous rfilling rof rhand) r
-check rturgor rby rpinching rforehead ror rsternum r(not rhand) r

*remind rto rdrink rq1hr r
*should rdrink rvariety rof rfluids rthroughout rday r(cannot rdepend ron rthirst ror rcolor rof
rurine)


UOP r(urine routput) r- rcorrect rAnswers r✔✔ r-*UOP: rshould rbe r1ml/kg/hr
r(60-80ml/hr) r

, -a rconcern rif r<= r30ml/hr

SBP r(systolic rBP) r- rcorrect rAnswers r✔✔ r-*patient rplaced ron rfall rrisk
-would rdevelop rorthostatic rhypotension rif rwith rhypovolemia r

*consider rFVD rwhen rBP rdrops rbelow rnormal rpressure

Best rIndicator rfor rFVD ror rFVE r- rcorrect rAnswers r✔✔ r-FVD:
-weight rloss r

FVE:
-weight rgain

Nursing rDiagnosis rfor rFVD r- rcorrect rAnswers r✔✔ r-Nursing rDiagnosis:
-Deficient rfluid rvolume rr/t rexcessive rfluid rloss rand/or rdecreased rfluid rintake r
-Altered rcomfort rr/t raltered rsensorium rand/or rdizziness r
-Deficient rknowledge rr/t rrisk rfactors rand rtherapeutic rinterventions r

Potential rNursing rDiagnosis:
-Risk rfor rinjury rr/t raltered rsensorium rand/or rdizziness r
-Risk rfor rimpaired rskin rintegrity rr/t rskin rand rmucous rmembrane rdryness r

Potential rComplications rNursing rDiagnosis:
-Risk rfor rhypovolemic rshock rr/t rfluid rloss rand/or rdecreased rfluid rintake r
-Risk rfor racute rrenal rfailure rr/t rFVD

Nursing rManagement rfor rFVD r- rcorrect rAnswers r✔✔ r--Assessment: rhead
rto rtoe r

-treat rand rprevent rcauses rof rFVD r
-force rfluids rand rmonitor rIVF r
-oral rcare: rdry rmouth, rcracked rlips r(mouthwash rNOT ralcohol rbased: rdry rmouth)

Treatment rfor rFVD r- rcorrect rAnswers r✔✔ r-*treat rcause rand rincrease
rintake

-PO rliquids rpreferable rif rGI rfunction ris rwithin rnormal rlimits r(help rwith rdehydrated
rmouth, rcontrol ramount rof rliquid rin) r


PO rLiquids:
-GIVE: rcommercial roral rrehydration r(pedialyte), rin rsmall ramounts, rfrequently r
-AVOID: rsoda, rcaffeine, rfruit rjuice r(increase rFVD)
-AVOID: rsports rdrinks rif rpt rhas rdiarrhea

Nutrition rwith rFVD r- rcorrect rAnswers r✔✔ r-BRAT rdiet:

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Wisdoms. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72042 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart