Adult Health 1 Exam #2 (all accurately answered)
How much of our body is water weight? correct answers 50-60%
How much of the total body water is ECF? correct answers one -third
Normal calcium levels correct answers 9-10.5 mg/dL
Normal chloride levels correct answers 95-105 mEq/L
Normal magnesium levels correct answers 1.5-2.5 mEq/L
normal potassium levels correct answers 3.5-5.0 mEq/L
Normal sodium levels correct answers 135-145 mEq/L
What is the minimum amount of urine per day needed to excrete toxic waste products? correct
answers 400-600 mL (30 mL/hr)
What are some examples of insensible water loss? correct answers Saliva
GI suctioning
drainage from fistulas and drains
How much fluid is lost through insensible losses? correct answers 500-1000 mL/day
1 L fluid is equal to correct answers 2.2 lbs or 1 kg
Symptoms of fluid volume excess correct answers weight gain
edema
weeping out of skin
crackles in the lungs
jugular vein distention
VITALS:
-Increased respirations
- Increased blood pressure
- Bounding pulse (+3)
- Decreased oxygen saturation
Which electrolyte has the biggest impact on the brain, heart? correct answers sodium, potassium
What is a late sign of dehydration? correct answers thirst
Symptoms of fluid volume deficit correct answers skin turgor (no tenting)
dry mucous membranes
dark urine
, Increased specific gravity
VITALS:
- Decreased BP
- Increased HR
Interventions for fluid volume deficit correct answers Encourage fluids
Limit salt intake
What is the use of normal saline? correct answers expand volume
dilute medications
keep vein open
What is the purpose of Lactated Ringers? correct answers fluid resuscitation
What kind of fluid is D5W? correct answers isotonic -----> hypotonic (D5 synthesized)
What is the purpose of D5 1/2NS correct answers used for Na & volume replacement (GO
SLOW)
Monitor BP, pulse rate, & quality of lung sounds as well as serum Na and urine output
What are some signs of Meniere's disease? correct answers Tinnutis
Hearing loss
Vertigo
What is the purpose of an audiogram? correct answers assess hearing and identify and define any
hearing loss
age related hearing loss correct answers presbycusis
What frequency does age-related hearing loss start at correct answers High-frequency
Which diet change is helpful in a pt with meniere's disease? correct answers low-salt
Nursing interventions for pt on loop diuretic correct answers Actions for the nurse to include
when caring for a client taking a loop diuretic for heart failure include: assessing daily weights,
encouraging consumption of citrus fruits, and monitoring the client's serum potassium.
In hyponatremia what is the priority point? correct answers safety- dont try to get up without
assistance.
Hyponatremia causes muscle weakness
The nurse is infusing 3% saline for a client with syndrome of inappropriate secretion (SIADH).
Which of these complications does the nurse report to the primary care provider? correct answers
assess for fluid volume overload- crackles 1/2 way up the lung
How much of our body is water weight? correct answers 50-60%
How much of the total body water is ECF? correct answers one -third
Normal calcium levels correct answers 9-10.5 mg/dL
Normal chloride levels correct answers 95-105 mEq/L
Normal magnesium levels correct answers 1.5-2.5 mEq/L
normal potassium levels correct answers 3.5-5.0 mEq/L
Normal sodium levels correct answers 135-145 mEq/L
What is the minimum amount of urine per day needed to excrete toxic waste products? correct
answers 400-600 mL (30 mL/hr)
What are some examples of insensible water loss? correct answers Saliva
GI suctioning
drainage from fistulas and drains
How much fluid is lost through insensible losses? correct answers 500-1000 mL/day
1 L fluid is equal to correct answers 2.2 lbs or 1 kg
Symptoms of fluid volume excess correct answers weight gain
edema
weeping out of skin
crackles in the lungs
jugular vein distention
VITALS:
-Increased respirations
- Increased blood pressure
- Bounding pulse (+3)
- Decreased oxygen saturation
Which electrolyte has the biggest impact on the brain, heart? correct answers sodium, potassium
What is a late sign of dehydration? correct answers thirst
Symptoms of fluid volume deficit correct answers skin turgor (no tenting)
dry mucous membranes
dark urine
, Increased specific gravity
VITALS:
- Decreased BP
- Increased HR
Interventions for fluid volume deficit correct answers Encourage fluids
Limit salt intake
What is the use of normal saline? correct answers expand volume
dilute medications
keep vein open
What is the purpose of Lactated Ringers? correct answers fluid resuscitation
What kind of fluid is D5W? correct answers isotonic -----> hypotonic (D5 synthesized)
What is the purpose of D5 1/2NS correct answers used for Na & volume replacement (GO
SLOW)
Monitor BP, pulse rate, & quality of lung sounds as well as serum Na and urine output
What are some signs of Meniere's disease? correct answers Tinnutis
Hearing loss
Vertigo
What is the purpose of an audiogram? correct answers assess hearing and identify and define any
hearing loss
age related hearing loss correct answers presbycusis
What frequency does age-related hearing loss start at correct answers High-frequency
Which diet change is helpful in a pt with meniere's disease? correct answers low-salt
Nursing interventions for pt on loop diuretic correct answers Actions for the nurse to include
when caring for a client taking a loop diuretic for heart failure include: assessing daily weights,
encouraging consumption of citrus fruits, and monitoring the client's serum potassium.
In hyponatremia what is the priority point? correct answers safety- dont try to get up without
assistance.
Hyponatremia causes muscle weakness
The nurse is infusing 3% saline for a client with syndrome of inappropriate secretion (SIADH).
Which of these complications does the nurse report to the primary care provider? correct answers
assess for fluid volume overload- crackles 1/2 way up the lung
