A 7-year-old patient is admitted with vomiting and diarrhea of 3 days' duration. The patient is started on IV therapy. A sign that he is receiving too much or too rapid IV fluid, when compared with previous data would be:
sudden vomiting
very rapid pulse rate
decreasing urine output
full, bounding pulse
The Correct Answer is D
A. sudden vomiting: Could indicate many issues, but not specific to fluid overload.
B. very rapid pulse rate: Tachycardia is common in dehydration, not overload.
C. decreasing urine output: This is more consistent with dehydration or kidney dysfunction.
D. full, bounding pulse: This is a sign of circulatory overload, along with other symptoms like edema or pulmonary congestion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Acidic: Acidity refers to pH, not solute concentration.
B. Hypotonic: A hypotonic solution has a lower solute concentration than the cell, causing water to enter the cell.
C. Hypertonic: A hypertonic solution has a higher solute concentration and pulls water out of cells.
D. Isotonic: Isotonic solutions have equal solute concentration and do not cause fluid shifts.
Correct Answer is D
Explanation
A. Skin: Some electrolytes are lost via sweat, but not the major route.
B. Lungs: Lungs excrete CO₂ but not most electrolytes.
C. Rectum: Some are excreted via feces, but the amount is minimal.
D. Kidney: The kidneys regulate and excrete electrolytes such as sodium, potassium, and calcium.
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