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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
A) Milk and eggs are among the most common food allergens in toddlers. Cow's milk protein allergy is one of the most common food allergies in infancy and early childhood. It can cause a range of symptoms, including skin reactions, gastrointestinal symptoms, and respiratory issues. Similarly, egg allergy is also prevalent in toddlers and can manifest with symptoms such as skin reactions, gastrointestinal upset, and respiratory symptoms.
B) Eggs, like cow's milk, are common food allergens in toddlers. Egg allergy can present with various symptoms, including skin reactions like hives, digestive symptoms such as abdominal pain or diarrhea, and respiratory symptoms like wheezing or nasal congestion.
C) Citrus fruits are less commonly associated with allergies compared to milk and eggs. While citrus fruits can cause allergic reactions in some individuals, they are not typically among the top allergens in toddlers.
D) Bananas are also not among the most common food allergens in toddlers. While it is possible for individuals to be allergic to bananas, such allergies are less prevalent compared to milk and egg allergies.
Correct Answer is D
Explanation
A. Place an identification bracelet:
While important for identification purposes, placing an identification bracelet is not the priority immediately following birth. Ensuring the newborn's physiological stability takes precedence.
B. Administer eye prophylaxis:
Administering eye prophylaxis is an essential newborn care procedure to prevent neonatal conjunctivitis caused by exposure to maternal gonorrhea or chlamydia. However, it is not the priority immediately after ensuring a patent airway.
C. Administer vitamin K:
Administering vitamin K is important for preventing vitamin K deficiency bleeding (VKDB) in newborns. However, it is typically done after drying the skin and other immediate newborn care tasks.
D. Dry the skin:
This is the correct answer. Drying the newborn's skin is the priority after ensuring a patent airway. Drying helps prevent heat loss and stimulates the newborn's breathing and circulation. It is an essential step in newborn care immediately after birth to promote thermal stability and adaptation to extrauterine life.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
