Fluid and Electrolyte (15 Questions on Test)
Fluid Imbalance
1. A nurse is performing an assessment on a client who has hypovolemia due to vomiting
and diarrhea. The nurse should expect which of the following findings? (Select all that
apply)
a. Hyperthermia
b. Bradycardia
c. Orthostatic hypotension
d. Tachycardia (Distended neck veins)
e. Decreased skin turgor
2. The nurse is reviewing the data on the client who has hypovolemia. The nurse should
identify which of the following findings is a manifestation of hypovolemia? (Select all
that apply)
a. Increased Hct
b. Increased blood pressure
c. Decreased urine output
d. Urine specific gravity
e. Increased sodium level
3. The nurse is planning care for the client who is admitted to an acute care facility with
dehydration. What actions should the nurse include in the plan? (All these are in order)
a. Monitor vital signs
b. Administer oxygen as prescribed
c. Check labs
Urinalysis
CBC
Electrolytes
d. Alert provider if urine output is less than 30 mL/hr
e. Weight daily & at same time
f. Observe for nausea and vomiting
g. B/P assessment for postural hypotension
h. Encourage client to change positions slowly, use call light, ask for assistance
i. Check neurologic status
j. Observe level of gain stability
k. Check heart rhythm
l. Maintain IV access
m. Provide oral & IV rehydration therapy as prescribed
n. Encourage fluids as tolerated
4. A nurse is teaching a class about fluid imbalances. Sort the following manifestations into
either hypovolemia or hypervolemia.
a. Breath sounds with crackles
b. Weight gain
c. Decreased urine specific gravity
