A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

Increased heart rate

Excessive thirst

Moist oral mucous membranes

Decreased blood pressure

Answer and Explanation

The Correct Answer is C

A.   An increased heart rate can be a sign of dehydration and would not indicate that IV fluid replacement has been effective.
B.   Excessive thirst is a symptom of dehydration and would not indicate that IV fluid replacement has been effective.
C.   Moist oral mucous membranes indicate improved hydration status and are a positive response to IV fluid replacement.
D.   Decreased blood pressure is a sign of dehydration and would not indicate that IV fluid replacement has been effective.

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Correct Answer is C

Explanation

A. Constipation: Constipation is not a commonly reported adverse effect of clopidogrel.

Therefore, it is not necessary to instruct the client to monitor and report constipation as an adverse effect.
B. Weight loss: Weight loss is not a commonly reported adverse effect of clopidogrel. Therefore, it is not necessary to instruct the client to monitor and report weight loss as an adverse effect.
C. Bruising: Clopidogrel is an antiplatelet medication that inhibits platelet aggregation.

Therefore, one of the potential adverse effects is an increased risk of bleeding, which can

manifest as easy bruising or prolonged bleeding from minor injuries. Instructing the client to monitor and report bruising is important for early detection of bleeding complications.
D. Blurred vision: Blurred vision is not a commonly reported adverse effect of clopidogrel.

Therefore, it is not necessary to instruct the client to monitor and report blurred vision as an adverse effect.

A. Prior episode of kidney stones B. Taking levothyroxine orally C. Has a systemic fungal infection D. History of asthma

Correct Answer is C

Explanation

A. Prior episode of kidney stones: A history of kidney stones is not a contraindication to prednisone therapy. However, it may require monitoring due to potential fluid and electrolyte imbalances associated with corticosteroid use.
B. Taking levothyroxine orally: Taking levothyroxine orally is not a contraindication to prednisone therapy. However, concurrent use of corticosteroids and levothyroxine may require dosage adjustments of both medications due to potential interactions.
C. Has a systemic fungal infection: Corticosteroids like prednisone can suppress the immune system, increasing the risk of fungal infections and worsening existing fungal infections.
Therefore, the presence of a systemic fungal infection is a contraindication to corticosteroid therapy.
D. History of asthma: Asthma is not a contraindication to prednisone therapy. In fact, prednisone is commonly used as a treatment for asthma exacerbations. However, caution may be needed in individuals with asthma to avoid exacerbating symptoms or complications.

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A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

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