Exam (elaborations)
NURS 309 Exam 1 (Fluid and Electrolytes) Questions With Complete Solutions
- Course
- Institution
NURS 309 Exam 1 (Fluid and Electrolytes) Questions With Complete Solutions
[Show more]
Content preview
NURS 309 Exam 1 (Fluid and Electrolytes) Questions WithComplete Solutions
Assessing Fluid Balance Correct Answers What do we look at:
-**weight and I&Os
-VS, CVP
-Na, BUN, Hct
-head to toe assessment (edema, turgor, ascites)
How often assess:
-Q8 (typically)
-Q1 if imbalance present for Pt
Best Indicator for FVD or FVE Correct Answers FVD:
-weight loss
FVE:
-weight gain
Calcium Correct Answers *normal values: 8.5-10.5
-regulated by PTH
-skeletal and heart muscle function
-nerve transmission
-blood clotting, acid base balance, bone and teeth rigidity
Sources:
-absorbed in GI tract and kidneys
-proteins (milk products, canned salmon, sardines)
-broccoli, spinach, turnip greens
-tofu
-rhubarb, almonds, figs
,Calcium >13.5 Correct Answers *MEDICAL
EMERGENCY!!!
Medication:
-Aredia (biophosphonate) IV
-Plicamcyn IV for metastatic cancer
-Salmon calcitonin IM or SQ
-IV phosphorus
Chloride (Cl) Correct Answers *normal values: 95-105
-combines with alkali to form salts in body (NaCl, KCl)
-helps maintain acid-base and electrolyte balance
-forms HCl acid for digestion
-helps maintain nerve transmission and muscle contraction and
relaxation
Considerations with Diuretics Correct Answers -assess to
determine if diuretic is needed
-obtain BP, K
-hold if systolic BP <100
-hold if K<4.0 (if pt not on K supplements)
Diet with Diarrhea Correct Answers -early reintroduction of
(bland) food to decrease number of diarrhea
-BRAT diet (short term, has inadequate lytes, protein, calories if
long term)
Diuretics Correct Answers -Furosemide (Lasix): loop diuretic,
decreases K
-Spironolactone (Aldactone): increases K
, -Thiazides: decreases K, Mg, Na (increases uric acid, Ca), teach
pt about increased risk for sunburn
*what should check b4 administering:
-BP, HR, lab values (K)
Enteral Feedings for FVD Correct Answers *enteral feedings
very concentrated which can cause dehydration
-provide additional plain water bolus periodically
Foods High in Potassium (K) Correct Answers -spinach,
broccoli, carrots, green beans, tomatoes, acorn squash, potatoes
-bananas, cantaloupe, oranges, apricots, strawberries
-milk, milk products, yogurt, meat
-legumes, nuts, seeds
-whole grains
Oral K:
-can give up to 100 mEq/day in divided doses
-can be given as pill, liquid (would always dilute usually in
orange juice), powder
How Fast should IVF go Correct Answers Depending on:
-severity fluid loss (trauma)
-age and weight
-hemodynamic stability or instability
-adequate heart and kidneys
*generally give 0.9% boluses of 100-200ml q15min until BP
stable: with hypotension and FVD
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80364 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
