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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Respiratory rate is not the primary vital sign to assess before administering metoprolol.

B. Temperature is not directly affected by metoprolol and should not be assessed solely for this purpose.

C. Oxygen saturation is not a vital sign directly impacted by metoprolol.

D. Heart rate should be assessed before metoprolol, a beta-blocker, because it can lower heart rate. If the heart rate is below the target range, the medication should be withheld.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Levothyroxine is best absorbed on an empty stomach, typically taken 30–60 minutes before breakfast, and separately from other medications, especially multivitamins (iron and calcium) and esomeprazole (a proton pump inhibitor). The client has been taking levothyroxine after breakfast with other medications, which can interfere with its absorption. This leads to the risk of decreased therapeutic effectiveness, even though the current TSH is within normal range and free T4 is at the high end of normal.

Multivitamins (often contain calcium or iron): Can bind to levothyroxine and reduce its absorption. Esomeprazole: Alters gastric pH, which can impair levothyroxine absorption. Food intake: Taking levothyroxine with food reduces its bioavailability.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer metoprolol to a client. Which of the following vital signs should the nurse assess before administration?

Correct Answer is D

Explanation

A nurse is caring for a client in an outpatient clinic. Exhibits Complete the following sentence by using the lists of options. The client is at risk for dropdown due to dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

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