Question 1

The nurse is caring for a client who was admitted to the hospital for the treatment of dehydration. The nurse is discussing the difference between intracellular fluid and extracellular fluid and states that intracellular fluid accounts for ________ of the total amount of water in the body.
Record your answer as a fraction.

Accepted Answer

The intracellular fluid (ICF) compartment, which contains water that is inside cells, accounts for about two thirds of the total body water. The remaining one third of body fluid resides outside cells in the extracellular fluid (ECF) compartment.

Question 2

The nurse is caring for a client in the emergency department who has experienced a below-the-knee traumatic amputation. The nurse anticipates the use of a whole blood transfusion because the client has lost ________% of the total blood volume in the accident.
Record your answer rounding to the nearest whole number.

Accepted Answer

Blood loss can be treated with a number of different intravenous fluids. The nurse knows that whole blood will be used when the client loses 30% or more of the total blood volume.

Question 3

The nurse is caring for a client with a serum sodium level of 110 mEq/L. The nurse anticipates that the client will require an infusion of ________% sodium chloride solution.
Record your answer rounding to the nearest whole number.

Accepted Answer

Normal saline consists of 0.9% NaCl and is used to treat mild hyponatremia. When serum sodium falls below 115 mEq/L, a highly concentrated 3% NaCl solution may be infused.

Question 4

The nurse is caring for a client with a pH of 7.32. Which medications would be appropriate to administer to a client with this condition?
Select all that apply.

Accepted Answer

Oral bicarbonate is an agent used to treat acidosis.
Citrate salts are an agent used to treat acidosis.

Question 5

The nurse is caring for a client with sodium retention that has resulted in hypervolemia. The nurse knows that even a 1% increase in sodium is equivalent to ________ lb of fluid weight gain.
Record your answer rounding to the nearest whole number.

Accepted Answer

A 1% increase in sodium reabsorption (retention) could potentially cause a 1.8-L net gain of water each day, which is equivalent to 4 lb of body weight.

Question 6

The nurse is administering furosemide (Lasix) IV to a client with congestive heart failure. The nurse knows that the anticipated onset of action is within ________ minutes.
Record your answer rounding to the nearest whole number.

Accepted Answer

Furosemide is frequently used in the treatment of acute edema associated with liver cirrhosis, renal impairment, or congestive heart failure because it has the ability to remove large amounts of edema fluid from the client in a short time. When given IV, diuresis begins within 5 minutes, providing clients quick relief from their symptoms.

Question 7

A client is taking a diuretic for the treatment of congestive heart failure. The nurse teaches the client the importance of daily weights and knows the client understands the instruction when he states, "I will report a weight gain or loss of ________ pounds in a 24-hour period."
Record your answer rounding to the nearest tenth place.

Accepted Answer

The client should report a weight gain or loss of over 1 kg (2.2 lb) in a 24-hour period.

Question 8

The nurse is instructing a client who is going home on diuretic therapy for the treatment of fluid retention caused by hypertension. The nurse instructs the client to stop the medication and notify a healthcare provider if the blood pressure falls below 90/________ mmHg.
Record your answer rounding to the nearest whole number.

Accepted Answer

The nurse instructs the client to stop taking the medication if blood pressure is 90/60 mmHg or below, or is below the parameters set by the healthcare provider, and promptly notify the provider.

Quiz 7: Fluid and Electrolyte Management

The nurse is caring for a client with a serum sodium level of 110 mEq/L. The nurse anticipates that the client will require an infusion of ________% sodium chloride solution. Record your answer rounding to the nearest whole number.

The nurse is caring for a client with a pH of 7.32. Which medications would be appropriate to administer to a client with this condition? Select all that apply.

The nurse is caring for a client with sodium retention that has resulted in hypervolemia. The nurse knows that even a 1% increase in sodium is equivalent to ________ lb of fluid weight gain. Record your answer rounding to the nearest whole number.

The nurse is administering furosemide (Lasix) IV to a client with congestive heart failure. The nurse knows that the anticipated onset of action is within ________ minutes. Record your answer rounding to the nearest whole number.