Question

9. The bodv conserves and reuses water as much as possible. Accurate intake and output records and daily weights are vital to caring for clients with fluid deficits and excesses. A client asks the nurse about what the normal intake and output should be for water. Based on her information, which would be the best answer to share with the client? Wedsesday, June 12, 2019 A) Intake- Liquids 1.000 ml: Outout Urine 1.500 mlL B) Intake Foods 1,200 mL: Output Skin-500 mL Intake Metabolism 300 ml.: Output Feces 200 mL C) Intake Liquids 1.200 mL: Output Lungs-500 mL D) 10. The nurse is caring for a group of elderly clients, What are the effects of aging on fluid and electrolyte balance of which the nurse should be aware? 1. Intracellular fluid levels increase 2. Thirst sensation declines Weight gain occurs Laxative abuse A) 3 4. 1,2,3 B) 1, 2, 4 C) 1,3, 4 D) 2,3,4 II. The nurse needs to consider the effects of aging on the urinary system. What are nursing implications related to ageing that should be considered by the nurse? Monitor the fluid intake and urinary output. Assess the client for dehydration and edema. Allow one hour between the last fluid intake and bedtime. 1. 2. 3. Keep a nightlight on to make nighttime bathroom visits safe. 4 A) 1,2,3 B) 1,2,4 C) 1,3, 4 D) 2,3,4 12. The nurse is reviewing the formation of urine with a client. The nurse includes an explanation of the concepts of glomerular filtration, tubular reabsorption, and tubular secretion in the review with the client. What is the best explanation by the nurse of tubular secretion? A) Process of removing particles from a solution by allowing the liquid solvent to pass across a barrier B) Movement of wastes across glomeruli into Bowman's capsule C) Reabsorption of most small proteins and peptides D) Process by which substances move from blood into the urine Page 3

Answer 1

9.A.A person with intake of 1000 ml, output of 1500 ml is possible.

10.B In geriatric persons, edema is common either due to underlying disease conditions or venous insufficiency. By age, the kidneys unable to concentrate urine and fluid retention occurs even in fluid deprivation. This may decrease thirst in elderly. In elderly, fluid and food intake may below which may lead to weight loss in them. Another concern in elderly in constipation. This warrant the excess use of laxatives in them.

11.A

Ageing related electrolytes imbalance should be properly monitored. It includes:

• Maintaining input/ output chart
• Check for edema or dehydration
• And allow one hour gap between last fluid intake and bedtime. This is helpful to avoid urination during sleeping time. The last statement of the question is not required, it will disturb the sleep of the patient due to lights are on. Instead, nurse instruct the patient in advance to remember the numbers of urination in late night if any.

12.B Tubular secretion involves transfer of materials through cappilaries of tubules into the tubular lumen. It is opposite to reabsorptiom.