A nurse is caring for a client who is receiving IV 0.9% sodium chloride for the treatment of hypovolemia. Which of the following findings should the nurse identify as an indication the treatment is effective?
Heart rate 104/min
2+ pitting edema in lower extremities
Blood pressure 124/74 mm Hg
Increased hematocrit
The Correct Answer is C
A. A heart rate of 104/min may indicate continued hypovolemia or a compensatory response to volume loss.
B. Pitting edema suggests fluid overload rather than effective treatment of hypovolemia.
C. A blood pressure of 124/74 mm Hg within or close to the normal range indicates improved volume status and effective treatment of hypovolemia.
D. Increased hematocrit suggests hemoconcentration due to volume loss rather than effective treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. TPN provides nutrition directly into the bloodstream, bypassing the digestive tract, and is typically used when the digestive tract cannot be used or tolerated.
B. TPN has a high risk of complications, including infection, metabolic derangements, and mechanical complications.
C. TPN requires a central venous catheter for administration, as peripheral IVs are inadequate for the hypertonic solution.
D. TPN does not directly increase the risk of aspiration, but improper administration or complications from the central line insertion could potentially lead to aspiration.
Correct Answer is ["A","B"]
Explanation
A. Doxycycline can increase sensitivity to sunlight, leading to a higher risk of sunburn. Advising the client to avoid the sun or use sun protection helps prevent this adverse effect.
B. Antibiotics like doxycycline can reduce the effectiveness of combined oral contraceptives. Using an alternate form of birth control ensures continued contraceptive protection while on the antibiotic.
C. While headaches and blurred vision can be side effects of doxycycline, they are not among the most common side effects that need to be emphasized during teaching.
D. Constipation is not a common side effect of doxycycline. Common side effects include gastrointestinal upset such as nausea, diarrhea, and esophageal irritation.
E. Doxycycline should not be taken with dairy products as calcium can interfere with its absorption, reducing the effectiveness of the medication. The client should be advised to take it with a full glass of water and to avoid dairy close to the time of taking the medication.
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