EXAM 2: NUR242/ NUR 242 MEDICAL-SURGICAL NURSING EXAM REVIEW| QUESTIONS AND VERIFIED ANSWERS| 100% CORRECT- GALEN

EXAM 2: NUR242/ NUR 242 MEDICAL-SURGICAL NURSING EXAM REVIEW| QUESTIONS AND VERIFIED ANSWERS| 100% CORRECT- GALEN
QUESTION: What are the causes of fluid overload?
Answer: Causes of fluid overload •Excessive fluid replacement
•Kidney failure (late phase) •Heart failure •Long term
corticosteroid therapy •Syndrome of inappropriate antidiuretic
hormone (SIADH) •Psychiatric disorders with polydipsia
•Water intoxication
QUESTION: What are the signs and symptoms of fluid
overload?
Answer: s/s fluid overload •CV: tachycardia, bounding pulse,
HTN, decrease pulse pressure, JVD, weight gain •Resp: increase
and shallow resp; SOB, crackles lung sounds •Skin: pitting
edema, skin pale and cool to touch •Neuromuscular: LOC, HA,
visual disturbance, muscle weakness, paresthesia •GI: increase
motility, enlarge liver
QUESTION: How should a nurse assess for fluid overload?
Answer: Assessment for fluid overload •Assess risk r/t age and
diagnosis, history (overhydration, CHF, kidney disease) •Assess
vital signs why: watch for bounding tachycardia, HTN,
dysrhythmias, tachypnea •Assess lung sounds (crackles) ,
weight, LOC, Observe JVD •Assess lab values: electrolytes
imbalance and signs and symptoms • Focus Assessment: 

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