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 A
Explanation
A. increases sodium retention by the kidney: Aldosterone acts on renal tubules to increase sodium reabsorption and potassium excretion.
B. acts on osmoreceptors to stimulate thirst: This is the role of antidiuretic hormone (ADH).
C. stimulates the production of large amounts of urine: Aldosterone promotes fluid retention, reducing urine output.
D. is secreted from the pituitary gland: It is secreted from the adrenal cortex.
Correct Answer is B
Explanation
A. Increase fluid intake: Although fluids are important, they do not directly correct potassium deficiency.
B. Consume orange juice and bananas: These are high in potassium and help replenish low potassium levels.
C. Increase table salt intake: Table salt increases sodium, not potassium.
D. Avoid orange juice and bananas: These should be consumed, not avoided, in hypokalemia.
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