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What types of patients should you monitor for hypernatremia?
Diabetes insipidus
Osmotic diuresis
-Large amount of perspiration and respiratory water output
-Tube feedings, hypertonic parenteral fluids, or salt tablets
-Dysfunction of osmoreceptor driven thirst drive
Causes of hypernatremia
Excessive / rapid IV administration of normal saline, inadequate water intake and kidney
disease
Normal range for sodium
135-145 mEq/L
Signs and symptoms of hypernatremia
Confusion, dry mucous membranes, seizures flat neck veins, dry skin, intense thirst, dark urine,
skin tenting
,True or false: a patient with hypernatermia will show very similar signs of dehydration
True
What happens to the patients cap refill when dehydrated
Its diminished
What happens to a patients neck vein when dehydrated
Neck veins are flat
When looking at a dehydrated patient eyes, what will you see?
Sunken eyes
What will a dehydrated patients hematrocrit levels look like?
They will have a high hematocrit level
Can a prolonged fever cause dehydration?
Yes
Difference in heart pulse with fluid excess and fluid deficit
FVE= Tachycardia, bounding pulse
, FVD= Tachycardia, thready pulse
Fluid volume excess
OVERHYDRATION: fluid intake or fluid retention exceeds fluid needs of the body
What are the causes of fluid volume excess
heart failure, renal failure, hypernatremia, polydipsia, cushing syndrome, long term use of
corticosteroids, excessive IV fluids
True or false: age related changes in the cardiovascular and kidney function can cause
hypervolemia
TRUE
1
Unhealthy and ineffective coping strategies
2
Sleep deprivation is
3
Theories of grief and mourning
4
Psychosocial changes occurring during aging involve...