Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
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Chapter 17: Fluid, Electrolyte,
and b
Acid-Base Imbalances
. Serum hematocrit of 42%
1. The nurse is caring for a patient
with a massive burn injury and
possible hypovolemia. Which
assessment data will be
c
of most concern to the nurse?
. Serum sodium level of 120 mg/d
a
. Blood pressure is 90/40 mm Hg.
b Urine output is 30 mL over the The blood pressure indicates that
. last hour. the patient may be developing
c Oral fluid intake is 100 mL for the hypovolemic shock as a result of
intravascular fluid loss due to the
. last 8 hours. burninjury. This finding will require
d There is prolonged skin tenting immediate intervention to prevent
. over the sternum. thecomplications associated with
ANS: A systemic hypoperfusion. The poor
Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
,Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
oralintake, decreased urine output, treated. At least 30 mL/hr
and of urine output indicates
Total urinary output of 280 mL adequate kidney
. during past 8 hours function. The hematocrit
ANS: C level is normal. Weight
Hyponatremia is the most gain is expected with
important finding to SIADH because of water
report. SIADH causes retention.
water retention and a 3. A patient is admitted
decrease in serum for hypovolemia
sodium level. associated with multiple
Hyponatremia can cause draining wounds. Which
confusion and other assessment would be the
central nervous system most accurate way for
effects. A critically low the nurse to evaluate
value likely needs to be fluid balance?
skin tenting all indicate the need for increasing the patient’s fluid intake
but not as urgently as the carcinoma of the lung develops
hypotension. syndrome of inappropriate
2. A patient who has a small cell antidiuretichormone (SIADH). The
Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
,Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
nurse should notify the health care a
provider about which assessment . Skin turgor
finding?
Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
, Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
b maybe present before fluid moves
. Daily weight into theinterstitial space and cause
edema. Although very important,
hourly urine outputs do not take
account of fluid intake or of fluid
c loss through insensible loss,
. Presence of edema sweating, or loss from the
gastrointestinal tract or wounds.
4. The home health nurse cares for
analert and oriented older adult
d
patient with a history of
. Hourly urine output
dehydration. Which instructions
should the nurse give to this patien
related to fluid intake?
ANS: B
Daily weight is the most easily
obtained and accurate means of
assessing volume status. Skin
turgorvaries considerably with age.
Considerable excess fluid volume
Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
Chapter 17: Fluid, Electrolyte,
and b
Acid-Base Imbalances
. Serum hematocrit of 42%
1. The nurse is caring for a patient
with a massive burn injury and
possible hypovolemia. Which
assessment data will be
c
of most concern to the nurse?
. Serum sodium level of 120 mg/d
a
. Blood pressure is 90/40 mm Hg.
b Urine output is 30 mL over the The blood pressure indicates that
. last hour. the patient may be developing
c Oral fluid intake is 100 mL for the hypovolemic shock as a result of
intravascular fluid loss due to the
. last 8 hours. burninjury. This finding will require
d There is prolonged skin tenting immediate intervention to prevent
. over the sternum. thecomplications associated with
ANS: A systemic hypoperfusion. The poor
Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
,Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
oralintake, decreased urine output, treated. At least 30 mL/hr
and of urine output indicates
Total urinary output of 280 mL adequate kidney
. during past 8 hours function. The hematocrit
ANS: C level is normal. Weight
Hyponatremia is the most gain is expected with
important finding to SIADH because of water
report. SIADH causes retention.
water retention and a 3. A patient is admitted
decrease in serum for hypovolemia
sodium level. associated with multiple
Hyponatremia can cause draining wounds. Which
confusion and other assessment would be the
central nervous system most accurate way for
effects. A critically low the nurse to evaluate
value likely needs to be fluid balance?
skin tenting all indicate the need for increasing the patient’s fluid intake
but not as urgently as the carcinoma of the lung develops
hypotension. syndrome of inappropriate
2. A patient who has a small cell antidiuretichormone (SIADH). The
Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
,Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
nurse should notify the health care a
provider about which assessment . Skin turgor
finding?
Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
, Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
b maybe present before fluid moves
. Daily weight into theinterstitial space and cause
edema. Although very important,
hourly urine outputs do not take
account of fluid intake or of fluid
c loss through insensible loss,
. Presence of edema sweating, or loss from the
gastrointestinal tract or wounds.
4. The home health nurse cares for
analert and oriented older adult
d
patient with a history of
. Hourly urine output
dehydration. Which instructions
should the nurse give to this patien
related to fluid intake?
ANS: B
Daily weight is the most easily
obtained and accurate means of
assessing volume status. Skin
turgorvaries considerably with age.
Considerable excess fluid volume
Essex County College NRS MISC 260 EXAM QUESTIONS AND
ANSWER 100%CORRECT/VERIFIED BEST RATED A+
GUARANTEED SUCCESS LATEST UPDATE 2022
