Fluid Balance Quiz: Too Much Or Too Little?

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2. True or False: Rapid IV fluid administration in an elderly patient with heart disease increases the risk of iatrogenic Fluid Volume Excess.

True

False

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4. Which clinical presentation is most consistent with Fluid Volume Deficit vs Excess: weak, thready pulse; decreased turgor; and concentrated urine?

Fluid Volume Excess

Fluid Volume Deficit

Balanced fluid status

Electrolyte imbalance only

5. A patient on IV fluids develops pulmonary edema, elevated JVP, and weight gain. Which intervention should the nurse implement first?

Continue current IV rate

Stop IV fluids and notify provider

Increase IV rate to improve perfusion

Switch to hypotonic solution

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7. A patient with nephrotic syndrome presents with generalized edema and ascites. This reflects which type of fluid imbalance?

Fluid Volume Deficit with hypernatremia

Fluid Volume Excess with hypoalbuminemia

Dehydration with hyperkalemia

Hypovolemia with hypercalcemia

8. True or False: In Fluid Volume Excess, hematocrit and hemoglobin are typically decreased due to hemodilution.

True

False

9. A postoperative patient has decreased urine output, increased heart rate, and low blood pressure. What fluid management strategy is most appropriate?

Fluid restriction

IV fluid replacement with isotonic solution

Hypertonic saline bolus

Diuretic administration

10. Which laboratory value is most elevated in pure Fluid Volume Deficit without electrolyte loss?

Serum potassium

Serum creatinine

Serum osmolality

Serum albumin

11. A 68-year-old patient with vomiting and diarrhea for 3 days presents with dry mucous membranes, poor skin turgor, and orthostatic hypotension. What is the primary nursing diagnosis?

Fluid Volume Deficit

Fluid Volume Excess

Ineffective Tissue Perfusion

Electrolyte Imbalance

12. Which nursing assessment finding would differentiate Fluid Volume Deficit from Fluid Volume Excess?

Elevated jugular venous pressure

Sunken fontanel in infants and poor skin turgor

Orthopnea and nocturnal dyspnea

Crackles in bilateral lung bases

13. True or False: Tachycardia and decreased urine output are early compensatory responses in Fluid Volume Deficit.

True

False

14. A patient has a serum sodium of 130 mEq/L with pitting edema and weight gain of 6 lbs in 2 days. This presentation is consistent with which condition?

Hypovolemia

Hypervolemia with hyponatremia

Dehydration

Acute kidney injury

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16. A patient with Fluid Volume Excess has a blood pressure of 158/92 mmHg and crackles on lung auscultation. What is the priority intervention?

Administer normal saline IV

Restrict fluid and sodium intake

Position supine to improve perfusion

Increase oral fluid intake

17. Which condition increases the risk for Fluid Volume Deficit?

Congestive heart failure

Severe burns and prolonged diarrhea

Renal failure

Cirrhosis with ascites

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19. Which clinical finding is most indicative of Fluid Volume Excess?

Decreased central venous pressure

Bilateral pitting edema and weight gain

Elevated hematocrit

Dry skin and mucous membranes

Fluid Balance Quiz: Too Much or Too Little?

1. A patient with Fluid Volume Excess secondary to heart failure is prescribed furosemide. The expected outcome is ____.

2.

What first name or nickname would you like us to use?

2. True or False: Rapid IV fluid administration in an elderly patient with heart disease increases the risk of iatrogenic Fluid Volume Excess.

3. A patient with chronic diarrhea has a serum potassium of 3.2 mEq/L and signs of Fluid Volume Deficit. The priority electrolyte to replace is ____.

4. Which clinical presentation is most consistent with Fluid Volume Deficit vs Excess: weak, thready pulse; decreased turgor; and concentrated urine?

5. A patient on IV fluids develops pulmonary edema, elevated JVP, and weight gain. Which intervention should the nurse implement first?

6. In severe Fluid Volume Deficit, the compensatory mechanism that increases heart rate and respiratory rate is triggered by ____.

7. A patient with nephrotic syndrome presents with generalized edema and ascites. This reflects which type of fluid imbalance?

8. True or False: In Fluid Volume Excess, hematocrit and hemoglobin are typically decreased due to hemodilution.

9. A postoperative patient has decreased urine output, increased heart rate, and low blood pressure. What fluid management strategy is most appropriate?

10. Which laboratory value is most elevated in pure Fluid Volume Deficit without electrolyte loss?

11. A 68-year-old patient with vomiting and diarrhea for 3 days presents with dry mucous membranes, poor skin turgor, and orthostatic hypotension. What is the primary nursing diagnosis?

12. Which nursing assessment finding would differentiate Fluid Volume Deficit from Fluid Volume Excess?

13. True or False: Tachycardia and decreased urine output are early compensatory responses in Fluid Volume Deficit.

14. A patient has a serum sodium of 130 mEq/L with pitting edema and weight gain of 6 lbs in 2 days. This presentation is consistent with which condition?

15. In Fluid Volume Deficit, serum osmolality is typically ____.

16. A patient with Fluid Volume Excess has a blood pressure of 158/92 mmHg and crackles on lung auscultation. What is the priority intervention?

17. Which condition increases the risk for Fluid Volume Deficit?

18. A patient on diuretics has a urine specific gravity of 1.035. This finding suggests ____.

19. Which clinical finding is most indicative of Fluid Volume Excess?