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 rationale for this answer is that phlebitis is inflammation of a vein caused by mechanical, chemical, or bacterial irritation from an IV catheter or fluid. It manifests as redness, warmth, tenderness, and swelling along the path of the vein.
Correct Answer is C,A,B,D
Explanation
The correct sequence of steps for palpating a client's systolic blood pressure using brachial artery is as follows:
- Palpate brachial pulse site.
- Inflate blood pressure cuff to 30 mm Hg beyond where brachial pulse was last felt. - Deflate blood pressure cuff slowly until brachial pulse is detected.
- Discontinue palpation of brachial pulse.
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