« previous next »

Author Question: The nurse suspects fluid overload in an infant receiving intravenous fluids. What clinical ... (Read 71 times)

Charlie

  • Hero Member
  • *****
  • Posts: 640
on: Jun 28, 2018
The nurse suspects fluid overload in an infant receiving intravenous fluids. What clinical manifestation is suggestive of water intoxication?
 
  a. Oliguria
  b. Weight loss
  c. Irritability and seizures
  d. Muscle weakness and cardiac dysrhythmias

Question 2

Physiologically, the child compensates for fluid volume losses by which mechanism?
 
  a. Inhibition of aldosterone secretion
  b. Hemoconcentration to reduce cardiac workload
  c. Fluid shift from interstitial space to intravascular space
  d. Vasodilation of peripheral arterioles to increase perfusion


ergserg

  • Sr. Member
  • ****
  • Posts: 338
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: C
Irritability, somnolence, headache, vomiting, diarrhea, and generalized seizures are manifestations of water intoxication. Urinary output is increased as the child attempts to maintain fluid balance. Weight gain is usually associated with water intoxication. Muscle weakness and cardiac dysrhythmias are not associated with water intoxication.

Answer to Question 2

ANS: C
Compensatory mechanisms attempt to maintain fluid volume. Initially, interstitial fluid moves into the intravascular compartment to maintain blood volume. Aldosterone is released to promote sodium retention and conserve water in the kidneys. Hemoconcentration results from the fluid volume loss. With less circulating volume, tachycardia results. Vasoconstriction of peripheral arterioles occurs to help maintain blood pressure.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Autoimmune diseases occur when the immune system destroys its own healthy tissues. When this occurs, white blood cells cannot distinguish between pathogens and normal cells.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

Aspirin is the most widely used drug in the world. It has even been recognized as such by the Guinness Book of World Records.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Fluids inside and outside of cells Fluids inside and outside of cells
The nurse conducts the health history as the first step in the nursing assessment The nurse conducts the health history as the first step in the nursing assessment
The nurse cares for the postop client in the postanesthesia care unit (PACU). The nurse cares for the postop client in the postanesthesia care unit (PACU).
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume. The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Magnet hospital nurse requirements Magnet hospital nurse requirements
Fluid–solute balance in freshwater and marine bony fishes Fluid–solute balance in freshwater and marine bony fishes
Video: Bone Growth and Remodeling

For a complete list of videos, visit our video library