Exam (elaborations)
medical surgical testbank with questions and 100% sure answers
- Course
- Institution
medical surgical testbank with questions and 100% sure answers
[Show more]
Seller
Follow
Content preview
JACKLINEmedical surgical testbank with questions and 100% sure answers
Terms in this set (179)
fluid and electrolyres
Exam 1 acid base
thermoregulation
Chapter 17: Fluid, Electrolyte, and Acid-Base ---
Imbalances
medical surgical testbank
1/66
,1. The nurse obtains all of the following assessment The blood pressure is 90/40 mm Hg.
data about a patient with deficient fluid volume
caused by a massive burn injury. Which of the Rationale: The blood pressure indicates that the patient may be developing hypovolemic shock as
following assessment data will be of greatest a result of fluid loss. This will require immediate intervention to prevent the complications
concern? associated with systemic hypoperfusion. The poor oral intake, decreased urine output, and skin
tenting all indicate the need for increasing the patients fluid intake but not as urgently as the
a. hypotension.
The blood pressure is 90/40 mm Hg.
b.
Urine output is 30 ml over the last hour.
c.
Oral fluid intake is 100 ml for the last 8 hours.
d.
There is prolonged skin tenting over the sternum.
medical surgical testbank
2/66
,9/2/24, 5:00 AM
2. A recently admitted patient has a small cell decreased serum sodium level.
carcinoma of the lung, which is causing the
syndrome of inappropriate antidiuretic hormone Rationale: SIADH causes water retention and a decrease in serum sodium level. Weight loss,
(SIADH). The nurse will monitor carefully for increased urine output, and elevated serum hematocrit may be associated with excessive loss of
water, but not with SIADH and water retention.
a.
increased total urinary output.
b.
elevation of serum hematocrit.
c.
decreased serum sodium level.
d.
rapid and unexpected weight loss.
3. When the nurse is evaluating the fluid balance daily weight.
for a patient admitted for hypovolemia associated
with multiple draining wounds, the most accurate Rationale: Daily weight is the most easily obtained and accurate means of assessing volume
assessment to include is status. Skin turgor varies considerably with age. Considerable excess fluid volume may be present
before fluid moves into the interstitial space and causes edema. Hourly urine outputs do not take
a. account of fluid intake or of fluid loss through insensible loss, sweating, or loss from the
gastrointestinal tract or wounds.
skin turgor.
b.
daily weight.
c.
presence of edema.
d.
hourly urine output. medical surgical testbank
3/66
, 9/2/24, 5:00 AM
4. When caring for an alert and oriented elderly if the oral mucosa feels dry.
patient with a history of dehydration, the home
health nurse will teach the patient to increase fluid Rationale: An alert, elderly patient will be able to self-assess for signs of oral dryness such as
intake thick oral secretions or dry-appearing mucosa. The thirst mechanism decreases with age and is
not an accurate indicator of volume depletion. Many older patients prefer to restrict fluids slightly
a. in the evening to improve sleep quality. The patient will not be likely to notice and act
appropriately when changes in LOC occur.
in the late evening hours.
b.
if the oral mucosa feels dry.
c.
when the patient feels thirsty.
d.
as soon as changes in level of consciousness
(LOC) occur.
We have an expert-written solution to this problem!
medical surgical testbank
4/66
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 Queenstin. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76449 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now