A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect?
Generalized edema
Elevated urine specific gravity
Thready pulse
Increased hematocrit
The Correct Answer is C
A. Water intoxication can lead to dilutional hyponatremia, which may result in fluid shifting into cells, causing cellular swelling and potentially cerebral edema, but generalized edema is not typically associated with water intoxication.
B. Water intoxication leads to dilution of electrolytes, including sodium, which results in decreased urine specific gravity rather than elevated.
C. Thready pulse is a common finding in water intoxication due to electrolyte imbalances and hemodilution.
D. Increased hematocrit is not typically associated with water intoxication; rather, it may indicate dehydration or hemoconcentration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Shingles is not contagious; it is caused by the reactivation of the varicella-zoster virus.
B. HIV is not transmitted through routine patient care; universal precautions should be taken.
C. Tuberculosis is an infectious disease that poses a risk to pregnant individuals, so it's best for the pregnant nurse to avoid exposure.
D. Alcoholic pancreatitis and impetigo are not infectious diseases and do not pose a risk of transmission to the pregnant nurse.
Correct Answer is D
Explanation
A. Strong contractions are expected with oxytocin augmentation and do not require a decrease in the infusion rate.
B. A cervical dilation rate of 1 cm every 4 hours is slow but does not indicate the need to decrease oxytocin.
C. Contractions lasting 80 seconds are prolonged but do not necessarily indicate hyperstimulation.
D. Contractions occurring every 90 seconds suggest uterine tachysystole, which can compromise fetal oxygenation and requires a decrease in the oxytocin infusion rate.
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