Exam 11: Clients with Fluid Imbalances

The nurse working with elderly clients in a nursing home assesses them for dehydration closely because the clients (Select all that apply)

A client has gastroenteritis and frequent diarrhea. The nurse should assess the client for (Select all that apply)

A client had a stroke and is now being tube-fed. An important intervention the nurse should include in the care plan related to fluid and electrolyte balance is to

A client who regularly exercises vigorously is being discharged from the emergency department after suffering from dehydration that was corrected. The nurse would realize that the client needs additional instructions when the client says

The nurse notes that a client with renal disease has a plasma osmolality of 200 mOsm/kg and a plasma sodium level of 122 mEq/L. The nurse would further assess the client for other manifestations of

The nurse anticipates that an order for an isotonic intravenous (IV) solution will read

A client with dehydration is being weighed on a standing scale next to the bed. The most important action by the nurse is to

A client has a serum sodium level of 115 mEq/L. The nurse has initiated a slow IV infusion of hypertonic saline solution per IV pump in a large vein. Which other intervention should the nurse implement as a priority?

A client has hypervolemic hyponatremia. The assessment finding the nurse would find inconsistent with this condition is

A nurse is caring for four clients who are at risk for or who have an actual fluid volume deficit. Which client should the nurse assess first? The nurse should first assess the client who

A client with hyponatremia is on a fluid restriction diet and complains of extreme dry mouth. Interventions the nurse can include in the plan of care include (Select all that apply)

The nurse has a client who received large amounts of IV fluids during and following surgery, yet the client's urinary output is low and the client is agitated. The nurse realizes the IV fluid that most likely has caused this problem is

A client is taking an IV diuretic for fluid volume excess. Which of the following assessments should the nurse report to the physician?

A client with severe malnutrition has pedal edema and ascites. The nurse notes that the weight is unchanged for the last 2 days. The most appropriate action by the nurse is to

When assessing the laboratory values for an assigned client with fluid excess, the nurse finds the value that is consistent with this diagnosis to be

The nurse who is caring for a client prescribed diuretics and fluid restriction to control edema can most easily evaluate the effectiveness of the medical protocol by

The nurse makes the evaluation that the intake of one of the adult clients in her care is adequate when she measures the total daily intake as