A nurse is caring for a client who has fluid volume deficit and is receiving intermittent IV fluid replacement therapy. Which of the following findings should the nurse identify as an indication the treatment has been effective?
Decrease in blood pressure
Increase in heart rate
Increase in urine output
Decrease in dependent edema
The Correct Answer is C
A. Decrease in blood pressure is not a positive indicator in this case; an increase in blood pressure is desired with effective treatment.
B. An increase in heart rate typically indicates dehydration or fluid deficit, not improvement.
C. An increase in urine output is a positive sign of fluid balance restoration. It shows the kidneys are functioning effectively with sufficient hydration.
D. Dependent edema might not decrease immediately, and its presence may not indicate the fluid therapy's effectiveness.
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Related Questions
Correct Answer is D
Explanation
A. Raloxifene is not used to treat hypothyroidism.
B. It does not have antimicrobial effects and is not used for UTIs.
C. It is contraindicated in active DVT due to risk of thromboembolic events.
D. Raloxifene is a selective estrogen receptor modulator (SERM) used to prevent and treat osteoporosis in postmenopausal women.
Correct Answer is C
Explanation
A. Administering a PCA dose prior to dressing changes is appropriate for managing pain before potentially painful activities.
B. Ambulating with the PCA pump is acceptable, as long as the client is not disconnected and it does not interfere with the pump's function.
C. Requesting a partner to administer PCA doses is incorrect because only the patient should administer PCA doses to prevent overmedication and to ensure that the client is aware of their pain level.
D. Administering PCA doses as soon as pain returns is appropriate as long as the client follows the prescribed timing for PCA use.
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