WorksheetsFluid volume excess
Total questions: 15
Worksheet time: 15mins
what can cause fluid volume excess to occur?
excessive sodium and fluid intake
increase potassium
decrease calcium
drink milk
what are the common signs and symptoms of fluid over load?
bone pain
excessive urine
bradycardia
hypotension
convulsions
tetany
arrythmias
stidor breathing
weight gain of 1kg or more per 24 hours
distended neck veins when upright
dependent edema
crackles in the lungs
weight loss
muscle pain
low calcium levels
what are the nursing interventions for fluid excess?
SATA
diuretics
monitor fluid intake and output
give a laxative
assess for edema
what are the severe signs and symptoms of fluid overload?
SATA
confusion and pulmonary edema
decreased BUN below 10mg/dL
Increased BUN over 10mg/dL
Increased blood pressure
what is the nursing priority assessment when you suspect a patient is in fluid overload?
respiratory
cardiovascular
musculoskeletal
integumetary
upon pressure application, which degree of edema would the nurse document for a 6-mm deep indentation?
4+
3+
2+
1+
which percentage of total body water is found in a premature newborn?
85
33
63
50
a child who has a history of a 5 pound weight gain in one week and periorbital edema is admitted with a diagnosis of acute glomerulonephritis. how can the nurse obtain the most accurate information on the status of the child's edema?
measuring intake and output
observing body changes
weight gain
monitoring electrolyte values
what causes fluid imbalance?
SATA
Eating pizza
elimination disruption
running 2 miles a day
medications
the nurse assess bilateral +4 peripheral edema while assessing the client with heart failure and peripheral vascular disease. which is the pathophysiological reason for the excessive edema?
increased intracellular fluid volume
increased intravascular compliance
weakening of the cell wall
shift of fluid into the interstitial spaces
which condition is a possible cause of pitting edema on the dorsum on the foot?
endocrine imbalance
excessive collagen production
fluid and electrolyte imbalance
autonomic nervous system stimulation
a client who experienced extensive burns is receiving IV fluids to replace fluid loss. the nurse would monitor for which initial symptoms of fluid overload?
cyanosis of nail beds
crackles in lungs
decreased heart rate
decreased BP
what is the retention of water and sodium in the extracellular fluid?
hypocalcemia
hypervolemia
hypovolemia
hypercalcemia
what do you need to monitor for a patient in fluid overload?
SATA
confusion
headache
seizures
excessive diarrhea
The home health nurse shoudl assess a patient who has chronic diarrhea for which fluid and electrolyte imbanalce?
SATA
hypokalemia
hypocalcemia
hypervolemia
extracellular fluid volume deficit
