A client is experiencing symptoms of fluid overload.
Which of the following interventions would the nurse anticipate as appropriate for this client?
Administering a diuretic medication.
Encouraging increased fluid intake.
Providing a high-sodium diet.
Elevating the affected extremities.
The Correct Answer is A
Fluid overload, also called hypervolemia, is a condition in which the body has too much water.
It can cause edema, hypertension, shortness of breath, and cardiovascular problems.
Diuretics are medications that help the body remove excess fluid through urine.
They are commonly used to treat fluid overload caused by heart failure, kidney failure, cirrhosis, and other conditions.
Choice B is wrong because encouraging increased fluid intake would worsen the fluid overload and increase the risk of complications.
Choice C is wrong because providing a high-sodium diet would also worsen the fluid overload and increase the risk of complications.
Sodium is an electrolyte that regulates fluid balance in the body.
Excess sodium intake can cause water retention and increase blood pressure.
Choice D is wrong because elevating the affected extremities is not an appropriate intervention for fluid overload.
Elevating the extremities can help reduce swelling caused by local factors such as injury or inflammation, but it does not address the underlying cause of fluid overload.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Angiotensin II is a hormone that stimulates the adrenal cortex to release aldosterone. Aldosterone is a hormone that helps regulate blood pressure by increasing the reabsorption of sodium and water and the excretion of potassium by the kidneys.
Choice A is wrong because renin is not a hormone but an enzyme that catalyzes the conversion of angiotensinogen to angiotensin I1.
Choice B is wrong because angiotensin I is an inactive precursor of angiotensin II that is converted by angiotensin-converting enzyme (ACE) in the lungs.
Choice D is wrong because antidiuretic hormone (ADH) is a hormone that regulates water balance by increasing the reabsorption of water by the kidneys, but it does not affect aldosterone secretion.
Correct Answer is A
Explanation
Increased urine output is a sign of adequate hydration, as it means the kidneys are filtering waste and fluids from the body through the urine. The urine should be pale straw or lemonade colored, which indicates good hydration.
Choice B is wrong because decreased urine output is a sign of dehydration, as it means the kidneys are not working well and waste products are accumulating in the blood.
The urine may be dark and strong smelling, which indicates poor hydration.
Choice C is wrong because dry mucous membranes are a sign of dehydration, as they indicate a lack of fluid in the body tissues.
Choice D is wrong because hypertension is not a direct indicator of hydration status, although dehydration can cause low BP due to reduced blood volume.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today