A nurse is assessing a client who is receiving continuous IV fluids through a peripheral IV. Which of the following findings indicates to the nurse that the client is experiencing fluid overload?
Bradycardia
Flattened neck veins
Fever
Crackles in the lungs
The Correct Answer is D
This is because crackles are a sign of fluid overload in the lungs, which can occur when a client receives too much IV fluid. Fluid overload can cause pulmonary edema, which is a life threatening condition that reduces oxygen exchange in the lungs. Some other signs and symptoms of fluid overload include rapid weight gain, swelling in the arms, legs and face, high blood pressure and shortness of breath.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The Weber's test is used to assess for unilateral hearing loss caused by either conduction or sensorineural impairment. The nurse places a vibrating tuning fork on the midline of the client's head and asks if he hears it better in one ear or equally in both ears. A normal finding is that the sound is heard equally in both ears (no lateralization). If there is conduction deafness in one ear, the sound will be heard louder in that ear (lateralization to affected ear). If there is sensorineural deafness in one ear, the sound will be heard louder in the opposite ear (lateralization to unaffected ear).
Correct Answer is D
Explanation
This is because crackles are a sign of fluid overload in the lungs, which can occur when a client receives too much IV fluid. Fluid overload can cause pulmonary edema, which is a life threatening condition that reduces oxygen exchange in the lungs. Some other signs and symptoms of fluid overload include rapid weight gain, swelling in the arms, legs and face, high blood pressure and shortness of breath.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.