NUR 330 Exam 1
- A nurse is reading a physician's progress note in the client's record and reads that the
physician has documented "insensible fluid loss of approximately 800 mL daily." The nurse understands that this type of fluid loss can occur through
- the skin
- urinary output
- wound drainage
- the gastrointestinal tract
Answer A
- A nurse caring for a patient who had been receiving IV diuretics suspects that the client is
experiencing a deficient fluid volume. Which assessment finding would the nurse note in a client with this condition?
- lung congestion
- decreased hematocrit
- decreased BP
- decreased heart rate
Answer C
- The nurse is caring for a patient with congestive heart failure. On assess- ment, the nurse
notes that the client is dypneic and that crackles are audible on auscultation. The nurse suspects excess fluid volume. What additional signs would the nurse expect to note in this patient?
- weight loss 1 / 2
- flat neck and hand veins
- increased blood pressure
- diaphoresis
Answer C
- A nurse is assigned to care for a group of patients. On review of the patient's medical
records, the nurse determines which of these patients to be most at risk for fluid volume excess?
- patient taking diuretics
- patient with renal failure
- patient with an ileostomy
- patient requiring gastrointestinal suctioning
Answer B
- What is the nurses primary concern regarding fluid and electrolytes when caring for an
elderly patient who is intermittently confused?
- risk of dehydration
- risk of kidney damage
- risk of stroke
- risk of bleeding
Answer A
thirst mechanism declines
- / 2