A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
Increased respiratory rate
Increase hematocrit
Increased blood pressure
Increased temperature
Increased Heart Rate
Correct Answer : A,C,E
A. Fluid overload can lead to pulmonary edema and difficulty breathing, resulting in an increased respiratory rate.
B. Fluid overload typically leads to dilution of blood, which can result in a decreased hematocrit.
C. Fluid overload can lead to increased blood volume and increased pressure on the blood vessel walls, resulting in increased blood pressure.
D. Fluid overload is not typically associated with an increased body temperature.
E. Fluid overload can lead to increased blood volume and increased pressure on the heart, resulting in an increased heart rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Using a dosimeter to measure radiation levels may be necessary in certain situations, but it is not the first step in determining what type of PPE to use.
B. Choosing the highest level of protection equipment available is important in minimizing the chances of the provider contacting the disease.
C. Waiting before delivering care might lead to loss of valuable time.
D. Decontaminating victims before intervening is not the nurse's responsibility. The focus should be on protecting oneself and providing care to those who need it.
Correct Answer is A
Explanation
A. While this may be relevant information, it is not directly related to the Health Belief Model, which focuses on individual beliefs and attitudes about health behaviors.
B. This aligns with the Health Belief Model, which emphasizes the importance of social influences and support in health-related decision-making.
C. This is a valid point, but it does not directly relate to the Health Belief Model.
D. This is a policy-based approach and does not directly relate to the Health Belief Model.
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