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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Assist the client with a bowel cleansing. The rationale for this answer is that an IVP is a diagnostic test that uses an intravenous contrast agent and x-rays to visualize the urinary tract structures and function. A bowel cleansing is necessary before the procedure to eliminate fecal matter that may obscure the images or interfere with contrast excretion.

A. “Would you like me to give you a back massage?" B. "Why do you think pain medication is not going to help you?" C. "You may take any herbal remedies you bring from home." D. "I'm sure it will work if you just give it a chance."

Correct Answer is A

Explanation

The rationale for this answer is that a back massage is a non-pharmacological intervention that can help reduce pain by promoting relaxation and increasing blood circulation. It also shows respect for the client's preference and offers a choice of alternative therapy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is scheduled for an intravenous pyelogram (IVP). Which of the following actions is appropriate for the nurse to include?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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