nursng > EXAM > Exam 3: Nursing I: Module 6, 7, 8 Complete 2023 (All)

Exam 3: Nursing I: Module 6, 7, 8 Complete 2023

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Module 8 contains: Med-Surg: Ch. 12 and 13 ATI Fundamentals: 49, 57 ATI Med-Surg: 43-45 NCLEX: 32, 54, 55 - Correct Answer Parents report their 6-month-old daughter has had diarrhea and vomi... ting for 24 hours. Which assessment finding do you expect to find that suggests fluid volume deficit? - Correct Answer 1. Swelling of extremities 2. Increased number of diaper changes 3. Depressed fontanelles 4. Weight gain (3) Rationale: Swelling and weight gain are signs of fluid volume excess. Although the child may need in- creased diaper changes because of diarrhea, those are not a sign of fluid volume deficit. Depressed fon- tanelles occur in young children with fluid volume deficit. In prioritizing client care, you recognize that the client most at risk for fluid volume deficit is: - Correct Answer 1. A 30-year-old man with a fractured tibia 2. An 82-year-old woman with a fractured hip 3. A 62-year-old man with a myocardial infarction 4. A 35-year-old woman who just delivered a baby (2) Rationale: Although all of these clients might experience fluid volume deficit, the most at risk are clients at the extreme of age, either young or old; in this case the 82-year-old client. A priority assessment for clients with fluid volume excess is: - Correct Answer 1. Mental status 2. Weight 3. Postural vital signs 4. Urine output (2) Rationale: Mental status is rarely affected in a fluid excess without a change in osmolality. Postural vital signs are most important in clients with fluid volume deficit. Urine output may be increased or decreased, depending on the cause of the fluid excess. Weight is an important indicator of fluid balance. [Show More]

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