NURS624 Case Study: Fluid Balance
Exam Questions with correct Answers
Latest Edition 2026-2027 A+ Graded
Since the client has a fluid volume deficit, the nurse anticipates a decrease in which vital
sign when she changes position?
A. Respiratory rate.
B. Blood pressure.
C. Temperature.
D. Pulse rate.
B
Fluid volume deficit often causes orthostatic hypotension and tachycardia. Because the
client may experience dizziness with orthostatic hypotension, the nurse should take
additional safety precautions during this assessment.
The nurse plans to assess the client for orthostatic vital sign changes. Which action will
the nurse take first?
A. Assist the client to a standing position.
B. Position the client in a supine position.
C. Elevate the head of the client's bed.
D. Dangle the client's feet at the bedside.
B
Orthostatic vital signs are measured in each position: lying, sitting, and standing. The
client's vital signs are first assessed in the supine position so that changes that occur
when the client sits and stands can be determined.
, The nurse takes the first blood pressure measurement. After recording the first blood
pressure measurement, what action will the nurse take next?
A. Count the client's radial pulse rate.
B. Remove the blood pressure cuff.
C. Help the client change positions.
D. Assess for an auscultatory gap.
A
Both the blood pressure and pulse rate are typically measured in each position: lying,
sitting, and standing.
The nurse discusses factors that contributed to the client's fluid volume deficit with
client and her daughter. Orders are lab work have been given by the Healthcare Provider
(HCP.)
Which problem often occurs in older clients and may have contributed to the fluid
volume deficit the client is experiencing?
A. Decreased hepatic blood flow.
B. Decreased drug absorption.
C. Decreased drug half-life.
D. Decreased GI acidity.
A
Decreased hepatic blood flow commonly occurs in older clients. This decreases drug
metabolism, which allows drugs to remain in the body longer and produces a greater
drug effect.
The nurse is aware that older clients often experience an increase in the amount of free,
unbound drug molecules, which has the potential to increase the pharmacological
effects of the drug.
Which lab test will the nurse monitor to determine if this may be a factor contributing to
the client's problem?
A. Serum creatinine.
Exam Questions with correct Answers
Latest Edition 2026-2027 A+ Graded
Since the client has a fluid volume deficit, the nurse anticipates a decrease in which vital
sign when she changes position?
A. Respiratory rate.
B. Blood pressure.
C. Temperature.
D. Pulse rate.
B
Fluid volume deficit often causes orthostatic hypotension and tachycardia. Because the
client may experience dizziness with orthostatic hypotension, the nurse should take
additional safety precautions during this assessment.
The nurse plans to assess the client for orthostatic vital sign changes. Which action will
the nurse take first?
A. Assist the client to a standing position.
B. Position the client in a supine position.
C. Elevate the head of the client's bed.
D. Dangle the client's feet at the bedside.
B
Orthostatic vital signs are measured in each position: lying, sitting, and standing. The
client's vital signs are first assessed in the supine position so that changes that occur
when the client sits and stands can be determined.
, The nurse takes the first blood pressure measurement. After recording the first blood
pressure measurement, what action will the nurse take next?
A. Count the client's radial pulse rate.
B. Remove the blood pressure cuff.
C. Help the client change positions.
D. Assess for an auscultatory gap.
A
Both the blood pressure and pulse rate are typically measured in each position: lying,
sitting, and standing.
The nurse discusses factors that contributed to the client's fluid volume deficit with
client and her daughter. Orders are lab work have been given by the Healthcare Provider
(HCP.)
Which problem often occurs in older clients and may have contributed to the fluid
volume deficit the client is experiencing?
A. Decreased hepatic blood flow.
B. Decreased drug absorption.
C. Decreased drug half-life.
D. Decreased GI acidity.
A
Decreased hepatic blood flow commonly occurs in older clients. This decreases drug
metabolism, which allows drugs to remain in the body longer and produces a greater
drug effect.
The nurse is aware that older clients often experience an increase in the amount of free,
unbound drug molecules, which has the potential to increase the pharmacological
effects of the drug.
Which lab test will the nurse monitor to determine if this may be a factor contributing to
the client's problem?
A. Serum creatinine.
