Which parameters are to be considered in Physical Assessment for Fluid and Electrolyte status? Select all that apply
Daily Weights
Moisture of oral cavity
Intake and Output
Edema
Listen
Skin turgor
Correct Answer : A,B,C,D,F
a) Daily Weights: Daily weights are an important measure for assessing fluid status, as they can indicate fluid retention or loss.
b) Moisture of oral cavity: The moisture of the oral cavity can be an indicator of dehydration, which affects fluid balance.
c) Intake and Output: Monitoring intake and output is essential for assessing the balance of fluids and electrolytes.
d) Edema: Edema, or fluid retention, is a key sign of altered fluid and electrolyte status.
e) Listen: While listening to lung sounds or heart sounds may provide indirect information about fluid balance, the word "listen" alone is too vague and not a specific parameter for fluid and electrolyte assessment.
f) Skin turgor: Skin turgor is a sign of hydration status. Decreased turgor may indicate dehydration.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) A slowing of the client's heart rate: The Valsalva maneuver (straining during defecation) can cause a transient increase in intra-abdominal pressure, which triggers vagal stimulation, leading to a slowing of the heart rate (bradycardia).
b) A decrease in the client's blood pressure: The Valsalva maneuver may initially cause an increase in blood pressure, followed by a drop after the maneuver is released. The immediate effect is a slowing of the heart rate, not a decrease in blood pressure.
c) An increase in the client's respiratory rate: The Valsalva maneuver typically causes a temporary decrease in respiratory rate due to the strain on the body.
d) A decrease in the client's respiratory rate: The Valsalva maneuver does not typically result in a significant decrease in respiratory rate. Instead, it is more likely to cause a brief alteration in heart rate and blood pressure.
Correct Answer is A
Explanation
a) Fluid retention: A weight increase of 6 pounds in 1 day is significant and may indicate fluid retention, which is commonly seen in conditions like heart failure or kidney disease.
b) Increased nutritional intake: A 6-pound weight gain is unlikely to be due to nutritional intake alone, especially over just a two-day period. This would more likely be seen over a longer timeframe.
c) Anorexia: Anorexia is associated with weight loss, not weight gain.
d) Weight loss: The patient has gained weight, not lost it.
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