When assessing a client with fluid volume deficit, the nurse would expect to find:

The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic and crackles are audible on auscultation. What additional signs would the nurse expect to note in this client if excess fluid volume is present?

1. Weight loss
2. Flat neck and hand veins
3. An increase in blood pressure
4. Decreased central venous pressure
   

3. An increase in blood pressure

The nurse is preparing to care for a client with a potassium deficit. The nurse reviews that client's record and determines that the client was at risk for developing the potassium deficit because of which situation?

1. Sustained tissue damage
2. Requires NG suction
3. Has a hx of Addison's disease
4. Is taking a potassium retaining diuretic
   

The nurse reviews a client's electrolyte lab report and notes that the K+ level is 2.5. Which pattern would the nurse note on the ECG as a result of the lab value?

1. U Waves
2. Absent P waves
3. Elevated T waves
4. Elevated ST segment
   

The nursing student needs to admin KCl IV as prescribed to a pt w/ hypokalemia. The nursing instructor determines that the student is unprepared for this procedure if the student states that which action is part of the plan for preparation and admin of the K+?

1. Obtaining an IV infusion pump
2. Monitoring Urine output during admin
3. Preparing the med for bolus administration
4. Ensuring that the med is diluted in the appropriate amount of NS
   

3. Preparing the med for bolus admin

The nurse provides instructions to a pt with a low K+ level about the foods that are high in potassium and tells the client to consume which foods? Select all that apply.

1. Peas
2. Raisins
3. Potatoes
4. Cantaloupe
5. Cauliflower
6. Strawberries
   

The nurse is reviewing lab results and notes that a clients serum Na+ level is 150. The nurse reports the serum Na+ level to the HCP and the HCP prescribes dietary instructions based on the Na+ level. Which food item does the nurse instruct the client to avoid?

1. Peas
2. Nuts
3. Cauliflower
4. Processed oat cereals
   

The nurse is assessing a client with a suspected dx of hypocalcemia. Which clinical manifestation would the nurse expect to note in the client?

1. Twitching
   
2. Hypoactive bowel sounds
3. Negative Trousseau's sign
4. Hypoactive deep tendon relexes
   

The nurse caring for a client with hypocalcemia would expect to note which change on the ECG?

1. Widened T wave
2. Prominent U wave
3. Prolonged QT interval
4. Shortened ST segment
   

1. Prolonged QT interval
   

The nurse reviews the electrolyte results of an assigned client and notes that the potassium level is 5.7. Which finding would the nurse expect to note on the ECG as a result of the lab value?

1. ST depression
2. Inverted T wave
3. Prominent U wave
4. Tall peaked T waves
   

The nurse is caring for a group of pt reviews the electrolyte lab results and notes a Na+ level of 130 on one of the pt's report. The nurse understands that which client has is a highest risk for the development of a sodium value at this level?

1. The client who is taking diuretics
2. The client with hyperaldosteronism
3. The client with Cushing's syndrome
4. The client who is taking corticosteroids
   

1. The client who is taking diuretics

The nurse is caring for a client with heart failure who is receiving high doses of a diuretic. On assessment, the nurse notes that the client has flat neck veins, generalized muscle weakness and diminished deep tendon reflexes. The nurse suspects hyponatremia. What additional signs would the nurse expect to note in a pt with hyponatremia.

1. Muscle twitches
2. Decreased urinary output
3. Hyperactive bowel sounds
4. Increased specific gravity of the urine
   

3. Hyperactive bowel sounds

The nurse reviews a client's lab report and notes that the client's serum phosphorous level is 2. Which condition most likely caused this serum phosphorus level?

1. Alcoholism
2. Renal insufficiency
3. Hypoparathyroidism
4. Tumor lysis syndrome
   

The nurse is reading a HCP progess notes in the client's record and reads that the HCP has documented "insensible fluid loss of approximately 800 mL daily" The nurse interprets that this type of fluid loss can occur through which route?

1. The skin
2. Urinary output
3. Wound drainage
4. The GI tract
   

The nurse is assigned to care for a group of clients. On review of the client's medical records, the nurse determine that which client is most likely at risk for a fluid volume deficit

1. A client with an ileostomy
2. A client with heart failure
3. A client on long-term corticosteroid therapy
4. A client receiving frequent wound irrigations
   

1. A client with an ileostomy
   

The nurse caring for a client who has been receiving IV diuretics suspects that the client is experiencing a fluid volume deficit. Which assessment finding would the nurse note in a client with this condition?

1. Lung congestion
2. Decreased hematocrit
3. Increased blood pressure
4. Decreased central venous pressure
   

2. Decreased central venous pressure

The nurse is assigned to care for a group of clients. On review of the clients' medical records, the nurse determines that which client is at risk for fluid volume excess?

1. The client taking diuretics
2. The client with kidney disease
3. The client with an ileostomy
4. The client who requires gastrointestinal suctioning
   

2. The client with kidney disease

The nurse caring for a group of clients reviews the electrolye lab result and notes a K+ level of 5.5 on one client's lab report. The nurse understands that which client is MOST at risk for the development of a K+ value at this level?

1. The client with colitis
2. The client with Cushing's syndrome
3. The client who has been overusing laxatives
4. The client who has sustained a traumatic burn
   

4. The client who has sustained a traumatic burn

When assessing a client with fluid volume deficit you would expect to find?

When assessing a client with fluid volume deficit What does the nurse expect to find quizlet?

Which of these would you expect to find in a patient with volume deficit?

Which of the following symptoms would the nurse expect to assess in patients with fluid volume deficit?