Chapter 30

Question 1

Water is ingested through fluids and _____

Answer 1

foods

Question 2

Water is normally lost through?

Answer 2

urine & feces

Question 3

Water is normally lost through urine & feces, but is also lost through _______ and the _______

Answer 3

• Skin (perspiration)
• Lungs (expiration)

Question 4

The words _____ and ______ relate to normal fluid balance

Answer 4

hydrated and hydration

Question 5

Fluid intake equals fluid output, what is this?

Answer 5

Normal hydration

Question 6

Edema occurs when?

Answer 6

fluid intake exceeds fluid output

Question 7

_______ is the swelling of the body tissues with water

Answer 7

Edema

Question 8

_______ is common for people with heart, kidney, and liver diseases

Answer 8

Edema

Question 9

What is pulmonary edema?

Answer 9

severe form of edema affecting the lungs

Question 10

__________ occurs when output exceeds intake

Answer 10

dehydration

Question 11

How much fluid does an adult need daily to survive?

Answer 11

1500mL

Question 12

How much fluid is needed for fluid balance?

Answer 12

2000 to 2500mL

Question 13

Edema is common for people with what 3 kinds of diseases?

Answer 13

heart, kidney, liver

Question 14

What are the four common fluid orders?

Answer 14

• Encourage fluids
• Restrict fluids
• NPO
• Thickened liquids

Question 15

A patient has edema, what fluid order are they on?

Answer 15

restricted fluids

Question 16

Some uses for a restricted fluid order includes edema, _____ failure, ______ failure.

Answer 16

Kidney failure, heart failure

Question 17

A patient who may be dehydrated is on what fluid order?

Answer 17

encourage fluids

Question 18

Encourage fluid orders help with dehydration, _________ infection, and ________ ________

Answer 18

• Urinary tract
• Kidney stones

Question 19

What are the uses for an NPO fluid order?

Answer 19

• Before & after surgery
• Laboratory tests
• Diagnostic procedures
• Treat certain illnesses

Question 20

What is a thickened liquid order?

Answer 20

Water and all fluids are thickened by the dietary department

Question 21

What is the use for a thickened liquid order?

Answer 21

Difficulty swallowing (dysphagia)

Question 22

Fluids are limited to a certain amount, what fluid order is this?

Answer 22

Restricted fluids

Question 23

For restricted fluid care measures:
* Follow the care plan for?
* Offer fluids in small amounts in small containers
* Remove and keep what out of sight?
* Provide what frequent hygiene?

Answer 23

• For the amount allowed
• Remove the water mug & keep out of sight
• Provide frequent oral hygiene to keep mouth moist

Question 24

For encouraged fluid care measures:
* Follow the care plan for?
* Keep what within the persons reach?
* Offer and help the person do what?

Answer 24

• Follow the care plan for the amount
• Keep a variety of fluids within the person’s reach
• Offer fluids often and help the person drink if not able to do so alone

Question 25

A patient is NPO for __ to __ hours before surgery and for some tests and procedures

Answer 25

6 to 12 hours

Question 26

An NPO patient needs what frequent hygiene procedure?

Answer 26

Oral hygiene

Question 27

What foods that melt at room temperature can be measured for fluid intakes?

Answer 27

* Sherbet * Custard * Popsicles * Icecream * Gelatin

Question 28

T/F: The CNA measures and records intravenous fluids and tube feedings

Answer 28

FALSE: Nurse measures only

Question 29

Besides urine, vomitus, diarrhea, and wound drainage being outputs, what are two other outputs?

Answer 29

Output from an ostomy, drainage from suction

Question 30

Intake and output are measured in ___

Answer 30

mL

Question 31

I&O are used to _____ and ________ treatment

Answer 31

plan and evaluate

Question 32

Urine, ostomy and drainage from suctions are outputs. What are three other outputs?

Answer 32

* Vomitus * Diarrhea * Wound Drainage

Question 33

To provide drinking water, what information do you need from the care plan?

Answer 33

* Persons fluid orders * How much ice to add * If person uses straw

Question 34

Flow rate is the number of _____ per minute or milliliters per ______

Answer 34

**drops** per minute or milliliters per **hour**

Question 35

How many graduates do you need for measuring intake and output?

Answer 35

2 graduates