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Both · Physiological needs · Printable PDF

Renal, Fluids & Electrolytes

22-page printable study edition. Cases on output trends, fluid balance and laboratory changes. The exact PDF is delivered after purchase.

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Chapters in this book

  1. 1.The nephron and fluid balance
  2. 2.study page: The nephron and
  3. 3.IV fluids: isotonic, hypotonic, hypertonic
  4. 4.study page: IV fluids: isotonic,
  5. 5.Sodium and potassium
  6. 6.study page: Sodium and
  7. 7.Calcium and magnesium
  8. 8.study page: Calcium and
  9. 9.Acute kidney injury and CKD
  10. 10.study page: Acute kidney injury
  11. 11.Dialysis care
  12. 12.study page: Dialysis care

Chapter 1 The nephron and fluid balance Learning goal: Explain how the kidney regulates water and electrolytes. Functional parts of the nephron Glomerulus Filters plasma; GFR measures this.; PCT Reabsorbs ~65% of sodium, water, glucose.; Loop of Henle Concentrates urine; loop diuretics act here.; DCT Thiazides act here; calcium reabsorption.; Collecting duct ADH and aldosterone fine-tune water and sodium.; Simplified teaching schematic - not to anatomical scale.

Figure 1.1; Hormone; Trigger; Effect; High serum osmolality, low volume; Water reabsorption - concentrated urine; Aldosterone; Renin-angiotensin, high K+; Sodium/water retention, potassium excretion; Atrial stretch; Sodium and water excretion

Educational use only. Verify against current facility policy and drug references. Not real NCLEX items.

Chapter 1 study page: The nephron and fluid balance Use this page to consolidate the chapter before attempting the questions. Writing the answers from memory (active recall) is one of the most effective study strategies. In your own words, summarise: The nephron and fluid balance.

What is the single most dangerous finding in this chapter, and what is the first nursing action?

Which medication, lab value or number from this chapter must you memorise? Write it with its unit.

Create one NCLEX-style question of your own on this chapter and explain the correct answer.

Check your understanding Q. Loop diuretics such as furosemide act primarily at the: A. Glomerulus B. Proximal tubule C. Loop of Henle D. Collecting duct Answers and rationales are in the Practice exam chapter.

Educational use only. Verify against current facility policy and drug references. Not real NCLEX items.

Sample shown: about 264 of 2,921 words.

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What’s included

  • 22-page downloadable PDF
  • Fluid balance
  • Electrolytes
  • Renal monitoring

Free preview · high-yield NCLEX areas

Try a few before you buy

Each card shows a real sample of what's inside: the topic area, the skill being tested, an original exam-style question, the full explanation and a tip you can reuse on test day.

NCLEX-RN · Prioritization

Skill tested: Who do you see first?

Four clients were just assigned. Which should the RN assess first?

  1. A. Client 1 day after an appendectomy asking for pain medication
  2. B. Client with COPD whose SpO2 is 90%, which is their baseline
  3. C. Client with new confusion and a respiratory rate of 8/min after an opioid dose
  4. D. Client with diabetes whose breakfast tray is late
NCLEX-PN · Infection control

Skill tested: Choosing the right precautions

A client has confirmed C. difficile. Which PPE and hand-hygiene practice is correct?

  1. A. Surgical mask and alcohol rub
  2. B. Gown and gloves, then soap and water
  3. C. N95 respirator only
  4. D. Gloves only, then alcohol rub
NCLEX-RN · Pharmacology

Skill tested: Spotting drug toxicity

A client taking digoxin reports nausea and yellow-tinged vision. What is the priority action?

  1. A. Give the next dose with food
  2. B. Hold the dose, check the apical pulse, and report possible toxicity
  3. C. Encourage oral fluids
  4. D. Recheck vision in 4 hours
NCLEX-PN · Coordinated care

Skill tested: Knowing when to escalate

Which finding should the PN report to the RN right away?

  1. A. Temperature 37.2 °C (99 °F)
  2. B. New facial droop on one side
  3. C. Client requests a blanket
  4. D. Urine output of 50 mL/hr
NCLEX-RN · Cardiac & electrolytes

Skill tested: Reading lab values

Which potassium level needs urgent follow-up for a client receiving IV furosemide?

  1. A. 4.2 mEq/L
  2. B. 3.8 mEq/L
  3. C. 2.9 mEq/L
  4. D. 4.9 mEq/L
NCLEX-PN · Basic care & comfort

Skill tested: Preventing complications

Which action best prevents pressure injury in a client who cannot move independently?

  1. A. Massage reddened bony areas
  2. B. Reposition at least every 2 hours
  3. C. Keep the head of the bed at 60° at all times
  4. D. Use a donut cushion
The full editions include many more questions like these across all eight NCLEX client-needs areas, each with a full explanation.