A nurse is caring for a client who has fluid volume deficit and is receiving a continuous IV infusion. Which of the following findings indicates the treatment has been effective?
Oliguria
Elastic skin turgor
Tachycardia
Dry mucous membranes
The Correct Answer is B
A) Oliguria, or decreased urine output, is a sign of fluid volume deficit rather than an indication that the treatment has been effective. In a client with fluid volume deficit, the kidneys conserve water to maintain fluid balance, leading to decreased urine output.
B) Elastic skin turgor is a reliable indicator of hydration status. When a client's fluid volume deficit is improving, their skin turgor returns to normal. Elastic skin turgor means that the skin quickly returns to its normal position after being pinched and released, indicating adequate hydration.
C) Tachycardia, or an increased heart rate, is a compensatory mechanism that the body uses to maintain cardiac output in response to fluid volume deficit. While tachycardia may initially be present in a client with fluid volume deficit, it is not an indication that treatment has been effective.
D) Dry mucous membranes are a manifestation of dehydration and fluid volume deficit. Moist mucous membranes indicate hydration status, and their dryness suggests dehydration. Dry mucous membranes are not indicative of effective treatment for fluid volume deficit.
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Related Questions
Correct Answer is D
Explanation
A) "You may carry your grandchild to the room":
While it may seem like a polite and accommodating response, allowing the grandmother to carry the newborn to the mother's room poses potential risks. Without proper training and supervision, there is a risk of mishandling or dropping the newborn, especially if the grandmother is unfamiliar with newborn care practices. Therefore, this response does not prioritize the safety and security of the newborn.
B) "Have the mother call and I will take the baby to the room":
This response places the responsibility on the mother to initiate the transfer of the newborn to the room. While it ensures that the mother is aware of and consenting to the movement of the newborn, it may cause delays in reuniting the newborn with the mother. Additionally, if the mother is unable to call or communicate immediately, it could prolong the separation between the newborn and the mother.
C) "If you show me your photo identification, you can take the infant":
Requesting photo identification from the grandmother may seem like a security measure to ensure that only authorized individuals handle the newborn. However, allowing non-staff members to transport newborns without proper supervision or training raises safety concerns. Without proper verification of the grandmother's identity against authorized visitors or family members, this approach may compromise the safety and security of the newborn.
D) "You can push the baby to the room in a wheeled bassinet":
This response prioritizes the safety and security of the newborn by providing a safe and appropriate means of transportation to the mother's room. Using a wheeled bassinet ensures that the newborn is securely positioned and protected during transit. It also aligns with hospital protocols for the safe movement of newborns within the facility, minimizing the risk of accidents or mishaps. Therefore, this response is the most appropriate option to ensure the well-being of the newborn while facilitating the grandmother's desire to take the baby to the mother's room.
Correct Answer is B
Explanation
A) Increased glucose levels would not typically be considered a positive outcome of following a Mediterranean diet and exercising to manage cardiovascular disease. In fact, the goal of such interventions is often to improve glycemic control and reduce blood sugar levels, so an increase in glucose levels would be undesirable.
B) Increased HDL (high-density lipoprotein) levels would be considered a positive outcome of the client's interventions. HDL is often referred to as "good" cholesterol ’ecause it helps remove LDL (low-density lipop“otei”) cholesterol from the arteries, thus reducing the risk of heart disease. A Mediterranean diet, rich in fruits, vegetables, whole grains, and healthy fats like those found in olive oil, combined with regular exercise, can lead to increased HDL levels.
C) Increased LDL (low-density lipoprotein) levels would not typically be considered a positive outcome of following a Mediterranean diet and exercising to manage cardiovascular disease. LDL cholesterol is often referred to as "bad" cholesterol because high levels can lead to plaque buildup “n t”e arteries, increasing the risk of heart disease. The goal of lifestyle interventions in managing cardiovascular disease is often to reduce LDL levels.
D) Increased triglyceride levels would not typically be considered a positive outcome of following a Mediterranean diet and exercising to manage cardiovascular disease. High triglyceride levels are associated with an increased risk of heart disease. A Mediterranean diet, which typically includes foods low in saturated fats and high in unsaturated fats, can help lower triglyceride levels when combined with regular exercise.
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