A nurse is caring for a client who has severe right wrist pain.
The nurse has completed the assessment of the client.
Drag words from the choices below to fill in each blank in the following sentence.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}
Respiratory acidosis- Due to opioid-induced respiratory depression (hypoventilation, CO₂ retention). Phlebitis- Due to IV therapy (15g IV and 0.9% NS at 150mL/hr), increasing the risk of vein irritation and inflammation.
Incorrect answers:
- Metabolic alkalosis: typically occurs due to vomiting or excessive bicarbonate intake.
- Hypervolemia: The client is receiving IV fluids, but there is no evidence of fluid overload.
- Osteomyelitis: Infection of the bone; not a direct risk in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hypotension: Fluid overload typically causes hypertension, not hypotension.
B. Polyuria: ESRD patients typically have oliguria or anuria, not excessive urine output.
C. Weight loss: Fluid overload leads to weight gain due to fluid retention.
D. Edema: Fluid overload causes peripheral and pulmonary edema due to impaired kidney function. Clients may also experience hypertension, dyspnea, and crackles.
Correct Answer is C
Explanation
A. Request a neurological consult: This is likely a metabolic issue (hypocalcemia), not a neurological disorder.
B. Have another nurse take their blood pressure: Rechecking BP does not address the underlying cause of the abnormal movement.
C. Review the client's lab values: Carpopedal spasm (Trousseau's sign) during BP measurement suggests hypocalcemia. The nurse should check serum calcium levels to confirm.
D. Call the healthcare provider for orders: The nurse should first review lab results to provide accurate data when notifying the provider.
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