MED SURG 170 MEDICAL SURGICAL NURSING TEST PAPER QUESTIONS AND SOLUTIONS VERIFIED ANSWERS

MED SURG 170 MEDICAL SURGICAL
NURSING TEST PAPER QUESTIONS AND
SOLUTIONS VERIFIED ANSWERS

●● Assessment for FVO
Answer: - Bounding + increase pulse
- High BP
- Dyspnea, crackles, edema
- Decreased hematocrit, serum sodium, and urine specific gravity


●● Causes of FVO
Answer: - ESRD, CHF, water intoxication, SIADH, corticosteroid
therapy, rapid fluid replacement


●● Treatment for FVO
Answer: - Diuretics
- Fluid Restriction
- Salt restriction
- Monitor I&O's


●● intracellular fluid
Answer: fluid within cells; 66%; 25 L

,●● Extracellular fluid
Answer: - Fluid outside the cell; 33%; 15L
- Most important for homeostasis


●● Homeostasis
Answer: - Proper functioning of all body systems
- Extracellular (intravascular and interstitial fluid)


●● Fluid balance
Answer: - 2 to 3 liters a day
- urine output 400-600 ml per day
- increases during stress, fever and tachy


●● Fluid Volume Deficit (FVD) (dehydration)
Answer: - Increased HR; decreased B/P
- Lethargy; decreased UOP; dry mucous membranes; constipation; thirst
- Increased hemoconcentration; BUN; sodium; urine specific gravity


●● Causes of FVD
Answer: vomiting, diarrhea, ileostomy, laxitives, burns, fever, diuretics,
GI suctioning and NPO

, ●● Interventions of FVD
Answer: - Halt OTC
- Outdoor activity
- Weight gain/loss
- Diet habits


●● BUN and Creatinine are?
Answer: Kidney markers and are sensitive to decreased blood flow.


●● Normal BUN levels
Answer: 10-20 mg/dL


●● Normal creatinine levels
Answer: 0.6-1.2


●● BUN and creatinine rise when
Answer: - Nitrogenous wastes are found in the blood indicating kidney
impairment.
- Also dehydration


●● Hypernatremia