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NCLEX FLUID AND ELECTROLYTES ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTTED SUCCESS $11.49   Add to cart

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NCLEX FLUID AND ELECTROLYTES ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTTED SUCCESS

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Hypotonic dehydration - ANSWER- electrolyte loss exceeds water loss and causes Cells to swell Caused by chronic illness, excessive fluid replacement Renal failure, chronic malnutrition Treatment Replacement of electrolytes: 3% sodium chloride, 5%sodium chloride, 10% dextrose in water, 5% dextr...

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  • October 9, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nclex
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LECTpharis
NCLEX FLUID AND ELECTROLYTES ALL EXAM REVISION

QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED

A+) (2024 UPDATE) 100% GUARANTTED SUCCESS.

Hypotonic dehydration - ANSWER- electrolyte loss exceeds water loss and causes


Cells to swell

Caused by chronic illness, excessive fluid replacement

Renal failure, chronic malnutrition

Treatment Replacement of electrolytes: 3% sodium chloride, 5%sodium chloride, 10% dextrose

in water, 5% dextrose in 0.9% sodium chloride, 5% dextrose in 0.45% sodium chloride and 5%

dextrose in Ringer's Lactate


Dehydration Interventions - ANSWER- monitor cardiovascular, respiratory, neuromuscular,

renal, integumentary, and gastrointestional status

Prevent further fluid loss and increase fluid compartment volumes to normal ranges

Provide oral rehydration and IV rehydration is severe monitor intake and output

Administer medications as prescribed

Antidiarrheal, antimicrobial, antiemetic and treat symptoms

Administer O2 as prescribed

Monitor electrolyte labs and treat

,Fluid overload Isotonic hypervolemia - ANSWER- causes circulatory overload and interstitial

edema when severe or when client has poor cardiac function cogestive heart failure, and pulmonary

edema

Caused by

Inadequately controlled IV therapy

Renal failure

Long-term corticosteroid therapy


Isotonic signs and symptoms - ANSWER- enlarged liver and ascites


Fluid overload signs and symptoms cardiovascular - ANSWER- bounding, increased pulse rate


Elevated blood pressure

Distended neck and hand veins

Elevated central venous pressure


Fluid overload Respiratory - ANSWER- increased shallow respiration


Dyspnea

Moist crackles on auscultation


Fluid overload Neromuscular - ANSWER- altered level of consciousness


Headache

Visual disturbances

, Skeletal muscle weakness

Paresthesias


Fluid overload integumentary - ANSWER- pitting edema in dependant areas


Skin pale and cool to touch


Fluid overload gastrointestinal tract - ANSWER- increased motility


Fluid overload Lab - ANSWER- Decreased serum osmolality


Decreased hematocrit

Decreased BUN level

Decreased serum sodium level

Decreased urine specific gravity


Fluid overload intervention - ANSWER- monitor cardiovascular, respiratory, neuromuscular,

renal, integumentary and gastrointestinal status.

Prevent further fluid overload and restore normal fluid balance

Administer diurectics; osmotic diuretics typically are prescribed first to prevent severe electrolyte

imbalances

Restrict fluid and sodium intake

Monitor intake and output

Monitor electrolyte values

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