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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is B
Explanation
A. Respiratory rate: While propranolol can potentially affect respiratory function in individuals with certain respiratory conditions, such as asthma, assessing the respiratory rate is not typically a priority assessment before administering propranolol.
B. HR rate: Propranolol is a beta-blocker that primarily affects heart rate and blood pressure.
Therefore, assessing the heart rate (HR) is crucial prior to administering propranolol, as it can cause bradycardia and heart block.
C. Pain level: Propranolol is not typically associated with pain modulation or analgesic effects.
Assessing pain level may be relevant for other medications or conditions but is not specifically related to propranolol administration.
D. Temperature: Propranolol does not typically affect body temperature, and assessing temperature is not typically necessary before administering propranolol.
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