F&E part 1

Fluid & Electrolyte Mastery Quiz
Welcome to the Fluid & Electrolyte Mastery Quiz! This quiz is designed for nursing students and healthcare professionals who want to test their knowledge on fluid and electrolyte balance in clinical practice.
Key features of the quiz:
- 10 multiple-choice questions
- Assess your understanding of key concepts
- Immediate feedback on your answers
The nurse is caring for a client in heart failure with signs of hypervolemia. Which vital sign is indicative of the disease process?
bradypnea
decreased blood pressure
bounding pulse
increased temperature
A nurse is caring for an adult client who was involved in a motor vehicle incident and is bleeding from a femur fracture. The client's pulse rate has increased from 100 to 134 beats per minute over the last hour. The nurse should further assess the client for which of the following?
Extracellular fluid volume deficit
extracellular fluid volume increase
alterned blood urea nitrogen (BUN) value
respiratory acidosis
The main intracellular cation is
Potassium
Sodium
The main extracellular cation is
Potassium
Sodium
Which laboratory result does the nurse identify as a direct result of the client’s hypovolemic status with hemoconcentration?
decreased hematocrit level
elevated hematocrit level
An adult client is brought into the clinic feeling thirsty with dry, sticky mucous membranes; decreased urine output; fever; a rough tongue; and lethargy. The nurse reconciles the client's medication list and notes that salt tablets had been prescribed. What would the nurse do next?
Consider sodium restriction with discontinuation of salt tablets.
Be prepared to administer a lactated Ringer's IV.
Be prepared to administer a sodium chloride IV.
Continue to monitor client with another appointment.
A client who is semiconscious presents with restlessness and weakness. The nurse assesses a dry, swollen tongue; body temperature of 99.3 °F; and a urine specific gravity of 1.020. What is the most likely serum sodium value for this client?
130 mEq/L
110 mEq/L
145 mEq/L
165 mEq/L
Which of the following is a clinical manifestation of fluid volume excess (FVE)? Select all that apply.
distended neck veins
crackles in the lung fields
shortness of breath
decreased blood pressure
bradycardia
A nurse is providing an afternoon shift report and relates morning assessment findings to the oncoming nurse. Which daily assessment data is necessary to determine changes in the client's hypervolemia status?
Weight
Vital signs
Edema
Intake and output
A nurse is viewing their client's Intake and Output over the past 8 hours. Which of the following measurable urine outputs indicates the client is maintaining adequate fluid intake and balance?
220 ML
100 mL
30 mL
250 mL
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