NCLEX, Fluids

Created by lizziebits 

Upgrade to
remove ads

Is thirst a sign of fluid deficit or fluid overload?

fluid deficit

Is a rapid and weak pulse a sign of fluid deficit or fluid overload?

fluid deficit

Are respiratory increases a sign of fluid deficit or fluid overload?

fluid deficit or fluid volume overload

Is poor skin turgor and skin that is cool and moise a sign of fluid deficit or fluid overload?

fluid deficit

Is hypotension a sign of fluid deficit or fluid overload?

fluid deficit

Is emaciation a sign of fluid deficit or fluid overload?

fluid deficit

Are dry eye sockets, mouth, and mucuse membranes a sign of fluid deficit or fluid overload?

fluid deficit

Are anxiety and exhaustion a sign of fluid deficit or fluid overload?

fluid deficit

Is a urine specific gravity a sign of fluid deficit or fluid overload?

fluid deficit

Is decreased urine output a sign of fluid deficit or fluid overload?

fluid deficit

What are lab value changes in fluid deficit?

- increased hemoglobin and hemocrit
- increased Na serum osmulality
- increased BUN

Are headache, lethargy, confusion, and disorientation a sign of fluid deficit or fluid overload?

fluid deficit

How is temperature affected by fluid volume?

No change in overload, increase in deficit

Is a slightly increased, bounding pulse a sign of fluid volume deficit or overload?

fluid overload

Are shortness of breath, dyspnea, and rales a sign of fluid volume deficit or overload?

fluid overload

Is peripheral edema a sign of fluid volume deficit or overload?

fluid overload

Is hypertension a sign of fluid volume deficit or overload?

fluid overload

Are muffled heart sounds a sign of fluid volume deficit or overload?

fluid overload

Is a urine specific gravity of <1.010 a sign of fluid volume deficit or overload?

fluid overload

Is jugular vein distension a sign of fluid volume deficit or overload?

fluid overload

Is apprehension a sign of fluid volume deficit or overload?

fluid overload or fluid deficit

Is increased venous pressure a sign of fluid volume deficit or overload?

fluid overload

What are lab value changes in fluid volume overload?

- decreased hematrocrit and HGB
- decreased BUN, Na+
- decreased serum osmolity

What are potential causes of fluid volume deficit?

- isotonic loss
- vomiting
- diarrhea
- GI suction
- sweating
- decreased intake
- hemorrhage
- third spacing

What are potential causes of fluid volume overload?

- isotonic gain, increased in interstitial compartment, intravascular compartment or both
- CHF
- renal failure
- cirrhosis of the liver
- excessive ingestion of sodium
- excessive or too rapid intravenous infusion

What are nursing interventions for fluid volume deficit?

- force fluids
- provide isotonic IV fluids (LR, .9%)
- I and O, hourly outputs
- daily weights (1 L = 1 kg)
- check skin turgor
- assess urine specific gravity

What are isotonic fluids?

- lactated Ringer's
- .9% NaCl
- Ringer's Solution
- 5% dextrose in water*

What are nursing interventions for fluid volume excess?

- administer diuretics
- restrict fluids
- sodium-restricted diet (6-15 g Na)
- daily weights
- assess breath sounds
- check feet/ankle/sacral region for edema
- Semi-Fowler's position if dyspneic

What is a normal central venous pressure reading?

3-12 cm

What does a elevated CVP measurement indicate?

hypervolemia or poor cardiac contractility

What does a lowered CVP measurment indicate?

hypovolemia

What are potential complications of CVP measuring?

- pneumothorax
- air embolism
- infection at insertion site

What is nursing managment for a CVP measurment?

- dry, sterile dressing
- change dressing, IV fluid bag, manometer, and tubing every 24 hours
- instruct pt to hold breath when tubing changed to prevent air embolism
- check and secure all connections

What are examples of hypotonic IV fluids?

.45% NaCL

What are examples of hypertonic IV fluids?

- 10-15% dextrose in water
- 3% NaCL
- Sodium Bicarb 5%
- 5% dextrose in .9% saline

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set