N3661 Final Review Questions With Correct
Answers
FVD |S&S |- |CORRECT |ANSWER✔✔-- |Decreased |BP
- |tachy |
- |acute |weight |loss |
poor |skin |turgor
elevated |temp
thready |pulse
FVD |treatment |- |CORRECT |ANSWER✔✔-- |IV |lactated |ringer |or |NaCl
- |once |balance |established- |hypotonic |solution |(0.45% |naCl) |to |provide |electrolytes |and |water
FVO |risk |factors |- |CORRECT |ANSWER✔✔-- |HF |
- |renal |failure
- |cirrhosis |of |liver
- |overdoes |of |na |fluids |
- |prolonged |use |of |corticosteriods
FVO |S&S |- |CORRECT |ANSWER✔✔-- |edema
- |distended |neck |veins |
- |crackles |in |lung
- |tachy
- |bounding |pulse |
- |increased |BP |
,- |increased |weight
- |SOB
FVO |labs |- |CORRECT |ANSWER✔✔-- |HCT |and |HGB |decreased
- |decreased |serum |osmolality |
- |decreased |BUN
FVO |treatment |- |CORRECT |ANSWER✔✔-- |monitor |I&O |
- |daily |weight
- |Na |restricted |diet
- |fluid |restrictions
- |diuretics |
- |monitor |N |a |and |K |levels
Soduim |lvls |- |CORRECT |ANSWER✔✔-135-145
Hyponatremia |- |CORRECT |ANSWER✔✔-- |mental |status |
- |SEIZURE |precautions |, |coma |
- |gradual |replacement- |can |cause |cerebral |edema |
- |headache, |confusion, |dizzy, |decreased |deep |tendon |reflexes |
- |hyperactive |bowel |
- |Hx |HF
Hyponatremia |treatment |- |CORRECT |ANSWER✔✔-- |water |restriction |
- |Na |replacement |oral |if |can
- |IV |LR |or |NS |
, - |If |SIADH |is |cause- |hypertonic |fluids, |restrict |fluids, |diuretics
Hypernatremia |- |CORRECT |ANSWER✔✔-- |restless
- |muscle |twitching, |weak |muscles, |decreased |deep |tendon |reflexes |
- |thirst
- |N&V
- |serum |osmolality |>300
- |elevated |temp
- |dry, |swollen |tongue |
- |sticky |ucosa
Hypernatremia |treatment |- |CORRECT |ANSWER✔✔-- |hypotonic |electrolyte |solution
- |D5W
- |assess |OTC |sources |of |sodium
- |fluids
Potassium |lvls |- |CORRECT |ANSWER✔✔-3.5-5.0 |mEq/L
Hypokalemia |S&S |- |CORRECT |ANSWER✔✔-- |dysrhythmias
- |glucose |intolerance |
- |on |diuretics
- |diarrhea
- |lethargy
- |flattened |T |waves; |ST |depression; |prolonged |PR |interval |
- |decreased |BP, |weak |pulse, |ortho |hypo
Answers
FVD |S&S |- |CORRECT |ANSWER✔✔-- |Decreased |BP
- |tachy |
- |acute |weight |loss |
poor |skin |turgor
elevated |temp
thready |pulse
FVD |treatment |- |CORRECT |ANSWER✔✔-- |IV |lactated |ringer |or |NaCl
- |once |balance |established- |hypotonic |solution |(0.45% |naCl) |to |provide |electrolytes |and |water
FVO |risk |factors |- |CORRECT |ANSWER✔✔-- |HF |
- |renal |failure
- |cirrhosis |of |liver
- |overdoes |of |na |fluids |
- |prolonged |use |of |corticosteriods
FVO |S&S |- |CORRECT |ANSWER✔✔-- |edema
- |distended |neck |veins |
- |crackles |in |lung
- |tachy
- |bounding |pulse |
- |increased |BP |
,- |increased |weight
- |SOB
FVO |labs |- |CORRECT |ANSWER✔✔-- |HCT |and |HGB |decreased
- |decreased |serum |osmolality |
- |decreased |BUN
FVO |treatment |- |CORRECT |ANSWER✔✔-- |monitor |I&O |
- |daily |weight
- |Na |restricted |diet
- |fluid |restrictions
- |diuretics |
- |monitor |N |a |and |K |levels
Soduim |lvls |- |CORRECT |ANSWER✔✔-135-145
Hyponatremia |- |CORRECT |ANSWER✔✔-- |mental |status |
- |SEIZURE |precautions |, |coma |
- |gradual |replacement- |can |cause |cerebral |edema |
- |headache, |confusion, |dizzy, |decreased |deep |tendon |reflexes |
- |hyperactive |bowel |
- |Hx |HF
Hyponatremia |treatment |- |CORRECT |ANSWER✔✔-- |water |restriction |
- |Na |replacement |oral |if |can
- |IV |LR |or |NS |
, - |If |SIADH |is |cause- |hypertonic |fluids, |restrict |fluids, |diuretics
Hypernatremia |- |CORRECT |ANSWER✔✔-- |restless
- |muscle |twitching, |weak |muscles, |decreased |deep |tendon |reflexes |
- |thirst
- |N&V
- |serum |osmolality |>300
- |elevated |temp
- |dry, |swollen |tongue |
- |sticky |ucosa
Hypernatremia |treatment |- |CORRECT |ANSWER✔✔-- |hypotonic |electrolyte |solution
- |D5W
- |assess |OTC |sources |of |sodium
- |fluids
Potassium |lvls |- |CORRECT |ANSWER✔✔-3.5-5.0 |mEq/L
Hypokalemia |S&S |- |CORRECT |ANSWER✔✔-- |dysrhythmias
- |glucose |intolerance |
- |on |diuretics
- |diarrhea
- |lethargy
- |flattened |T |waves; |ST |depression; |prolonged |PR |interval |
- |decreased |BP, |weak |pulse, |ortho |hypo
