Fluid & Electrolytes PRACTICE QUESTIONS

1. A nurse is reading a physician's progress notes 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: 1.The skin 2.Urinary output 3.Wound drainage 4.The gastrointestinal tract 2. A nurse is assigned to care for a group of clients. On review of the clients' medical records, the nurse determines that which client is at risk for deficient fluid volume? 1.A client with a colostomy 2.A client with congestive heart failure 3.A client with decreased kidney function 4.A client receiving frequent wound irrigations 3. A nurse caring for a client who has been receiving intravenous diuretics suspects that the client is experiencing a deficient fluid volume. Which assessment finding would the nurse note in a client with this condition? 1.Lung congestion 2.Decreased hematocrit 3.Increased blood pressure 4.Decreased central venous pressure (CVP) 4.A nurse is assigned to care for a group of clients. On review of the clients' medical records, the nurse determines that which client is at risk for excess fluid volume? 1.The client taking diuretics 2.The client with renal failure 3.The client with an ileostomy 4.The client who requires gastrointestinal suctioning 5.The nurse is caring for a client with congestive heart failure. On assessment, the nurse notes that the client is dyspneic and that crackles are audible on auscultation. The nurse suspects excess fluid volume. What additional signs would the nurse expect to note in this client if excess fluid volume is present? 1.Weight loss 2.Flat neck and hand veins 3.An increase in blood pressure 4.A decreased central venous pressure (CVP) 6.A nurse is preparing to care for a client with a potassium deficit. The nurse reviews the client's record and determines that the client was at risk for developing the potassium deficit because the client: 1.Has renal failure. 2.Requires nasogastric suction. 3.Has a history of Addison's disease. 4.Is taking a potassium-sparing diuretic.