Identify the choice that best completes the statement or answers the question.
___B_ 1. A 45-year-old client with excess fluid volume because of an acute kidney dysfunction is placed on a 1,000 ml fluid restriction per 24-hour period. The client asks the nurse, “Why is there such a severe fluid restriction when I already have dry lips and mouth?” Which response by the nurse is best?
|a. |The doctor ordered the fluid restriction, so it is |c. |You probably drank too much fluid before you got sick, so|
| |important to comply with those orders. | |you can’t compare your usual intake to your limitations |
| | | |now that your kidneys are not working. |
|b. |Your kidneys cannot eliminate extra fluid right now, so |d. |Too much fluid will cause your heart to fail and your |
| |intake must be limited to protect your heart and lungs | |lungs to fill with water, which could be fatal |
| |from being overloaded with fluid | | |
_A___ 2. A 45-year-old female client is receiving a loop diuretic for treatment of edema. The nurse determines the client is experiencing an excessive response to the treatment when the client demonstrates:
|a. |BUN 28/mg/dL, hematocrit 45%, and an 8 pound weight loss |c. |BUN 16 mg/dL, Hct 31%, and an 8 pound weight loss in 24 |
| |is 24 hours | |hours |
|b. |BUN 21 mg.dL, Hct 29%, and an 8 pound weight gain in 24 |d. |BUN 25 mg/dL, Hct 33%, and an 8 pound