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.

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Correct Answer is C

Explanation

A. Adding butter to vegetables would increase the calorie content without necessarily providing significant nutritional benefits for someone with wasting syndrome.
B. Avoiding desserts made with eggs may limit protein intake, which is important for individuals with wasting syndrome who may be experiencing muscle wasting.

C. Increasing fluid intake with meals can help prevent dehydration, which is important for individuals with AIDS-related wasting syndrome, as dehydration can exacerbate symptoms and contribute to further weight loss.
D. Preparing hot chocolate with water instead of milk may decrease calorie and fat intake, but it does not address the need for adequate hydration, which is crucial for individuals with wasting syndrome.

A. One medium banana B. One large tomato C. 1 cup broccoli D. 1 cup green grapes

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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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?

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Naxlex Comprehensive Predictor Exams

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