NUR 118 - KAHOOT - Fluids & Electrolytes

Question 1

What are s/s of fluid volume excess/fluid overload?

Answer 1

JVD
Pitting Edema
Hypertension

Question 2

Hypovolemia/Dehydration will cause what?

Answer 2

Specific gravity >1.030
Hypernatremia
Tachycardia

Question 3

What is potassium responsible for?

Answer 3

Regulates conduction of cardiac rhythm
Muscle contraction

Question 4

HIGH OR LOW SODIUM CAN PRESENT WITH WHAT S/S?

Answer 4

BEHAVIOR/MENTATION CHANGES

Question 5

Blood tests that assess renal function

Answer 5

BUN
Creatinine

Question 6

Positive Trousseau & Chvostek response is seen in

Answer 6

Hypocalcemia

Trousseau’s sign: Carpopedal spasm from inflation of BP cuff
-adduction of thumb
-Flexion of wrist

Chvostek’s sign: Contraction of facial muscles by tapping facial nerve anterior to ear
-Twitching of lip through spasm of all facial muscles

Question 7

What electrolyte can cause mental status & behavioral changes if low or high?

Answer 7

Sodium

Question 8

S/S of dehydration

Answer 8

weak thready pulses

Question 9

What is the normal range of potassium?

Answer 9

3.5 - 5.0 mEq/L

Question 10

Nursing interventions for fluid restrictions.

Answer 10

offer ice chips
do not leave liquids at the bedside
frequent oral hygiene
give fluids between meals

Question 11

Nursing interventions to monitor fluid & electrolyte imbalances

Answer 11

daily weight
measure urine output
assess for thirst
Encourage 2400 mL fluid a day