A nurse in a critical care unit is assessing an adult client. Which of the following findings by the nurse indicates a fluid volume deficit?

Heart rate 118/min

Central venous pressure 25 mm Hg

Blood pressure 152/90 mm Hg

Temperature 37.2° C (99° F)

Answer and Explanation

The Correct Answer is A

A.   A heart rate of 118/min suggests tachycardia, which is a compensatory mechanism in response to fluid volume deficit. The body increases heart rate to maintain cardiac output when fluid volume is low.
B.   A central venous pressure of 25 mm Hg may indicate fluid volume overload rather than deficit. It suggests increased venous pressure, possibly due to excess fluid.
C.   A blood pressure of 152/90 mm Hg is within the normal range and does not specifically indicate fluid volume deficit.
D.   A temperature of 37.2°C (99°F) is within the normal range and does not specifically indicate fluid volume deficit.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A: Cooking in a stainless steel skillet does not increase the amount of iron in food. Iron skillets are known to increase iron content in food, not stainless steel.
B: Drinking iced tea with meals can actually decrease iron absorption. Tea contains tannins, which bind to iron and can inhibit its absorption.
C: Fish and poultry are indeed primary sources of heme iron, which is more easily absorbed by the body than non-heme iron found in plant sources.
D: Drinking orange juice with iron supplements can increase absorption. The vitamin C in orange juice enhances the absorption of iron.

A. Low-carbohydrate B. High-nutrient C. High-cholesterol D. Low-sodium

Correct Answer is B

Explanation

A. A low-carbohydrate diet may not provide the necessary energy and nutrients required for optimal wound healing. Carbohydrates are important for providing energy for cellular processes involved in tissue repair and regeneration.
B. A high-nutrient diet, rich in vitamins, minerals, proteins, and healthy fats, is essential for promoting wound healing. Adequate intake of nutrients such as vitamin C, vitamin A, zinc, and protein is particularly important for supporting collagen synthesis, immune function, and tissue repair.
C. A high-cholesterol diet is not specifically indicated for promoting wound healing and may be associated with other health risks such as cardiovascular disease.
D. While excessive sodium intake can contribute to fluid retention and edema, a low-sodium diet is not specifically indicated for promoting wound healing unless the client has conditions such as congestive heart failure or hypertension where sodium restriction is necessary to manage fluid balance.

View Question and Answer

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

A nurse in a critical care unit is assessing an adult client. Which of the following findings by the nurse indicates a fluid volume deficit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching for a client who has iron deficiency anemia. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is planning care for a client who has pressure injuries. Which of the following diets should the nurse include in the plan of care to promote wound healing?

Correct Answer is B

Explanation

A nurse is providing teaching about the Dietary Approaches to Stop Hypertension (DASH) diet to a client who has hypertension. Which of the following instructions should the nurse include?

A nurse is reviewing a client's laboratory results for effectiveness of total parenteral nutrition (TPN). Which of the following laboratory values is the best indicator for the nurse to monitor for short-term effectiveness of the TPN?

A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching?

A nurse in an outpatient clinic is caring for a client. Exhibits When reviewing client data. which of the following client findings should the nurse identify as an indication of metabolic syndrome? Select all that apply.

A nurse is caring for a client who is prescribed 45 calories/kg per day. The client weighs 132 lb. What should the client's daily caloric intake be? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is teaching a client who has a new prescription for tetracycline. Which of the following nutritional considerations should the nurse include in the teaching?

A nurse is caring for a client who has a small-bore jejunostomy tube and is receiving a continuous tube feeding with a high-viscosity formula. Which of the following actions should the nurse take to prevent the tubing from clogging?

A nurse is providing education to the partner of a client who has hepatic encephalopathy about a prescription for lactulose. Which of the following statements should the nurse make to the client's partner?