Which fluid replacement method will the nurse identify for a ...

[aabwk4]

Which fluid replacement method will the nurse identify for a patient on a fluid restriction?
 
  a. Freely throughout the day and evening shift
  b. One third of the allowed volume on each shift
  c. Half the volume with meals and the remainder divided among shifts
  d. As the patient desires

Question 2

Which condition would require mineralocorticoid replacement?
 
  a. Addison's disease
  b. Diabetes insipidus
  c. Myxedema
  d. Glomerulonephritis

[orangecrush]

Answer to Question 1

ANS: C
When fluid restrictions are prescribed, one half of fluid volume is generally given with meals. The other half is given on a per shift basis. When allowed the opportunity to take fluids freely, most patients will use all of their allotment early in the day and not have enough left for meals and medications later. Because most patients are asleep on the night shift, the fluid requirement is less.

Answer to Question 2

ANS: A
Addison's disease is a result of failure of the adrenal cortex to produce mineralocorticoids, glucocorticoids, and sex hormones. Replacement therapy of all hormones is essential for the patient to lead a healthy life. Diabetes insipidus is treated with vasopressin. Myxedema is treated with thyroid hormone. Glomerulonephritis is treated with antibiotics.

[aabwk4]

TYSM

[nothere]

Excellent