NUR 330 Exam 1

NUR 330 Exam 1
1. 1. A nurse is reading a physician's progress note in the client's record and reads that the
physician has documented "insensible fluid loss of approximately 800 mL daily." The nurse
understands that this type of fluid loss can occur through
a. the skin
b. urinary output
c. wound drainage
d. the gastrointestinal tract
Answer
A
2. 2. A nurse caring for a patient who had been receiving IV diureticssuspects that the client is
experiencing a deficient fluid volume.Which assessment finding would the nurse note in a client
with this condition?
a. lung congestion
b. decreased hematocrit
c. decreased BP
d. decreased heart rate
Answer
C
3. 3. The nurse is caring for a patient with congestive heart failure.On assess- ment,the nurse
notesthat the client is dypneic and that crackles are audible on auscultation.The nurse suspects
excess fluid volume.What additional signs would the nurse expect to note in this patient?
a. weight loss
b. flat neck and hand veins
c. increased blood pressure
d. diaphoresis
Answer
C