Fluid Balance: Practice Questions Free Online FlashCards

What findings suggest fluid volume deficit?

Fluid volume deficit is suggested by fluid losses, dizziness on standing, dry mucous membranes, tachycardia, hypotension, and reduced urine output.

Which new fluid-excess findings need prompt attention?

New crackles and worsening shortness of breath may indicate pulmonary congestion and require prompt assessment.

What is the net balance for 860 mL intake and 880 mL output?

Total intake is $860$ mL and output is $880$ mL, so net balance is $860-880=-20$ mL.

What is urine output of 25 mL/hour for a 60 kg client?

The output is $25/60 \approx 0.42$ mL/kg/hour. Assess the client and report the low output according to the care plan or local protocol.

Does edema prove that circulating volume is adequate?

No. Edema is interstitial fluid accumulation and can coexist with inadequate circulating volume.

What replacement approach may suit a stable adult who can drink?

For a stable adult who can drink and is not vomiting, appropriate oral fluid replacement may be suitable if not contraindicated; continue assessing losses and response.

What should you do if crackles and shortness of breath develop during IV fluids?

Promptly assess respiratory status and oxygenation, then escalate the change according to the care plan and local protocol.

Which findings help evaluate fluid balance and treatment response?

Use consistent daily weights, intake and output trends, vital signs, perfusion, mental status, respiratory findings, and edema; interpret them together.

What combination suggests fluid overload after replacement?

New crackles, worsening dyspnea, and increasing edema after replacement raise concern for fluid overload.

What sources count as fluid intake in a balance calculation?

Count measured oral fluids, liquid medications, and IV fluids as intake.

Which measured losses count as output in a fluid balance?

Count measured urine, vomit, and wound drainage as output.

How should daily weight be measured for fluid monitoring?

Measure daily weight consistently to make weight trends useful when evaluating fluid balance.