Class Activities

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Gateway Community College *

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240

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Chemistry

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Feb 20, 2024

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docx

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Class Activities 1. Hypovolemia (loss of both water and solute in same proportion from ECF space) and symptoms Correct Answers : B. Tachycardia _ due to fluid loss, the body tries to compensate by increasing heart rate. D. Syncope _ results when BP is too low due to deficiency in fluid volume. C. Decreased skin Turgor –Seen in hypovolemia due to fluid loss Therefore, all are indications of hypovolemia Incorrect Answers A: Distended neck veins: Not expected finding in hypovolemia. This is seen in heart failure. B: Hyperthermia: is abnormally high body temperature (overheating) not findings in hypovolemia 2. Hypovolemia and who is at risk Correct answer: A: Client who has Nasogastric Suctioning: Is at high risk due to gastrointestinal losses Incorrect Answers : B: The clients is constipated, therefore not losing fluid C: Not indicated, Client retains excess fluid D: Sodium bicarbonate anticids leads to fluid retention not loss 3. Dehydration and manifestations Correct Answers: A - Hct 55% _ The Hct is greater than expected reference range for men (42% -52%) and women (47% -47%) indicating dehydration due to hemoconcentration C - Blood Sodium 150mEq/l _the serum level is greater than expected reference range of 135 -145mEq/l. it indicates dehydration due to hemoconcentration D - Urine Specific gravity 1.035_ Increased urine specific gravity is an indication of dehydration. The expected range is 1.005 -1.030. Incorrect Answers: B - Blood osmolarity 260mOsm/kg: Blood osmolarity greater than 300mOsm/kg is a manifestation of dehydration not 260mOsm/kg. E - Blood creatinine 0.6 mg/dl: This is low, high serum creatinine is expected
4. Hypervolemic high risk clients Correct Answer: B - Client who has a Heart failure: is at risk for hypervolemic, fluid should be restricted to reduce the work load of the heart Incorrect Answers : A - a client who has adrenal insufficiency is at risk for isotonic fluid volume deficit C - a client who has diabetic ketoacidosis is at risk for dehydration D - a client who has ascites is at risk for hypovolemia 5. Dehydration and assessments Correct Answers : B: Obtain clients weight each day and same time using same scale, this will help evaluate client response to treatment Incorrect Answers : A: Will not help determine fluid loss and gain status of client C: Expected normal urine out – not sign of dehydration D: This can’t be used to determine fluid status
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