A nurse is assessing a client with fluid volume overload. Which of the following findings should the nurse expect?

Increased temperature

Increased blood pressure

Bradycardia

Increased hematocrit

Answer and Explanation

The Correct Answer is B

Choice A reason:

Increased temperature is not a typical finding associated with fluid volume overload. Fluid volume overload affects the circulatory and respiratory systems primarily, and while fever can indicate infection or inflammation, it is not a direct consequence of fluid volume excess.

Choice B reason:

Increased blood pressure is a common finding in fluid volume overload due to the increased volume of blood in the circulatory system. This excess volume can lead to hypertension as the heart works harder to pump the additional fluid, making this a key indicator of fluid volume overload.

Choice C reason:

Bradycardia, or a slow heart rate, is not typically associated with fluid volume overload. In fact, fluid overload often leads to tachycardia as the heart tries to compensate for the increased volume. Bradycardia could indicate other cardiac conditions but is not a sign of fluid volume excess.

Choice D reason:

Increased hematocrit is not expected in fluid volume overload. Hematocrit measures the proportion of red blood cells in the blood, and with fluid overload, this proportion is usually diluted, leading to a lower hematocrit level rather than an increased one.

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Correct Answer is D,A,C,B

Explanation

Choice A reason:

Pulling the fire alarm is a critical step to alert everyone in the facility to the fire and summon emergency responders. This should be done immediately after ensuring the safety of individuals.

Choice B reason:

Extinguishing the fire should be attempted only if it is safe to do so and if the fire is small and contained. This step comes after ensuring the safety of clients and alerting others.

Choice C reason:

Confine the fire by closing doors to prevent the spread of smoke and flames. This step helps to control the situation until the fire department arrives.

Choice D reason:

Rescuing clients is the first priority to ensure their safety. Moving clients to a safe area away from the fire should be the immediate response in a fire emergency.

A. check the dosage with a more experienced nurse B. consult a drug handbook and administer the normal dose C. contact the hospital pharmacist about the order D. contact the health care provider to clarify the illegible order

Correct Answer is D

Explanation

Choice A reason: Checking the dosage with a more experienced nurse might provide additional input, but it does not address the fundamental issue of the illegible order. Clarity from the prescribing provider is necessary to ensure accuracy.

Choice B reason: Consulting a drug handbook to determine the normal dose can provide useful information but does not solve the problem of confirming the specific dosage intended by the provider. Administering the dose without proper clarification risks patient safety.

Choice C reason: Contacting the hospital pharmacist for input is a prudent step, but the final clarification must come from the prescribing provider to ensure the correct dosage and adherence to the intended treatment plan.

Choice D reason: This is the correct answer. Contacting the health care provider to clarify the illegible order is the most direct and reliable way to ensure that the patient receives the correct dosage of medication. Clear communication with the provider prevents medication errors and ensures patient safety.

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A nurse is assessing a client with fluid volume overload. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D,A,C,B

Explanation

A health care provider has written an order for digoxin for the patient, but the nurse cannot read whether the order is for 0.25 mg or 0.125 mg. What action would be the best to prevent a medication error?

Correct Answer is D

Explanation

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