A nurse is assessing a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?

Weight gain

Distended neck veins

Shortness of breath

Elevated hematocrit level

Answer and Explanation

The Correct Answer is D

Fluid deficit causes the loss of the plasma component of blood. The levels of blood cells remain constant despite the loss of plasma resulting in hemoconcentration. Hemoconcentration is observed as an elevated hematocrit level on a full blood count test.

A,B,C- features of fluid overload

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

Foods with vitamin C improves iron absorption , black stools are expected on iron supplements and do not need reporting, Iron stains teeth and rinsing the mouth after intake is necessary. Gastric acid enhance iron absorption and antacids should be avoided. Taking iron on an empty stomach increases risk of GI side effects

A. Inject air into the vial to withdraw the short-acting insulin. B. Administer the insulin within 20 min of preparing it. C. Ensure the NPH insulin is drawn into the syringe first. D. use two separate syringes to mix the insulin.

Correct Answer is A

Explanation

A-Injection of air ensures that the accurate dose is withdrawn into the syringe

B-It is not necessary to administer within 20 min, it should, however, be administered within 24 hours.

C-Short-acting insulin should be drawn first to ensure that the short-acting insulin is not contaminated with the long-acting or intermediate one.

D- Insulin types can be mixed in the same syringe, provided the short-acting insulin is drawn up first.

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A nurse is assessing a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a group of clients. Which of the following situations requires an incident report?

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