Fluid Balance: Practice Questions Online Quiz Questions

True or false: A single intake-and-output total is enough to determine a client's overall fluid status.

A stable, alert adult has mild fluid loss, can drink, and is not vomiting. Which approach is generally appropriate if not contraindicated?

An older adult has had vomiting and diarrhea for two days and reports dizziness when standing. The client has dry mucous membranes, a heart rate of 112 beats/min, blood pressure of 92/58 mm Hg, and reduced urine output. Which interpretation is most appropriate?

A client has generalized edema, low blood pressure, tachycardia, and weak peripheral pulses. Which conclusion is most accurate?

A client with heart failure gains 1.8 kg (4 lb) in three days and develops ankle edema, increasing shortness of breath, and new crackles at the lung bases. Which finding is the most urgent to report?

Which considerations support an oral fluid replacement approach for an adult with mild fluid loss? Select all that apply.

Which findings help evaluate fluid balance and response to treatment? Select all that apply.

True or false: If a client develops new shortness of breath and crackles during IV fluid therapy, the nurse should promptly assess respiratory status and oxygenation and escalate the change according to the care plan and local protocol.

During a shift, a client receives 240 mL of water, 120 mL of liquid medication, and 500 mL of IV fluid. The client produces 650 mL of urine, vomits 150 mL, and has 80 mL of measured wound drainage. What is the net fluid balance for the shift?

A client weighing 60 kg produces 25 mL of urine in one hour. Calculate the urine output in mL/kg/hour and round to the nearest hundredth.

A client's urine output has decreased. Describe the nurse's next steps and explain why the finding should be interpreted alongside other assessment data rather than prompting an automatic fluid or diuretic intervention.

True or false: A positive intake-and-output balance for one shift, by itself, proves that a client has fluid volume excess.

Which measurement is most useful for tracking a fluid-balance trend over time?

During a shift, a client receives 240 mL of water, 120 mL of liquid medication, and 500 mL of IV fluid. What is the total intake for the shift?

A client receiving IV fluids develops new shortness of breath and crackles. What is the nurse's priority response?

A client with heart failure gains 1.8 kg (4 lb) in three days and develops ankle edema, increasing shortness of breath, and new crackles at the lung bases. Which finding is most urgent to report?

During a shift, a client receives 240 mL of water, 120 mL of liquid medication, and 500 mL of IV fluid. The client produces 650 mL of urine, vomits 150 mL, and has 80 mL of measured wound drainage. What is the net fluid balance for the shift in mL?

Which approach provides the most useful overall assessment of an adult client's fluid balance and response to treatment?