A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Weight gain
Oliguria
Nausea
Headaches
The Correct Answer is B
Choice A rationale:
Weight gain is not typically associated with fluid volume deficit; it's more indicative of fluid retention.
Choice B rationale:
Oliguria refers to decreased urine output and can be a sign of fluid volume deficit.
Choice C rationale:
Nausea can be caused by various factors, including gastrointestinal issues, but it's not a specific indicator of fluid volume deficit.
Choice D rationale:
Headaches can have multiple causes and are not a direct sign of fluid volume deficit.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Obtaining the client's HDL level is not relevant to the administration error.
Choice B rationale:
Collecting the client's uric acid level is not relevant to the administration error.
Choice C rationale:
Metformin is an antidiabetic medication used to control blood glucose levels. Since metformin was administered instead of metoprolol, the nurse should check the client's glucose level to monitor for potential effects of the incorrect medication.
Choice D rationale:
Monitoring the client's thyroid function levels is not relevant to the administration error involving metformin and metoprolol.
Correct Answer is B
Explanation
Choice A rationale:
BUN (blood urea nitrogen) measures kidney function and hydration status but is not a specific indicator for withholding triamterene.
Choice B rationale:
Triamterene is a potassium-sparing diuretic. With a potassium level of 5.3 mEq/L, which is elevated, the nurse should withhold the medication to prevent further potassium retention.
Choice C rationale:
Sodium level of 142 mEq/L is within the normal range and does not indicate a need to withhold triamterene.
Choice D rationale:
Albumin level of 4 g/dL is within the normal range and does not directly impact the decision to withhold triamterene.
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