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)
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Turkey is a lean source of protein but is not particularly high in fiber.
B. Cooked peas are high in fiber and are a good choice for individuals with diverticular disease, as fiber can help prevent constipation and reduce the risk of diverticulitis flare-ups.
C. Low-fat plain yogurt is a good source of protein and calcium but is not particularly high in fiber.
D. Cooked white rice is low in fiber compared to other grains and legumes and may not provide significant benefits for individuals with diverticular disease.
Correct Answer is C
Explanation
A. Bananas are not particularly high in calcium compared to other foods listed.
B. Tomatoes are not significant sources of calcium.
C. Broccoli is a good source of calcium, with approximately 43 mg of calcium per cup.
D. Green grapes are not significant sources of calcium.
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