A nurse is collecting data from a client who has isotonic fluid-volume deficit. Which of the following findings should the nurse expect?
Weak pulse
Distended neck veins
Bradycardia
Pitting Edema
The Correct Answer is A
A. Weak pulse: Isotonic fluid-volume deficit results in decreased blood volume, leading to reduced cardiac output and a weak, thready pulse.
B. Distended neck veins: This is associated with fluid volume excess, not deficit.
C. Bradycardia: Fluid deficit typically leads to tachycardia as the body compensates for decreased circulating volume.
D. Pitting edema: This is a sign of fluid overload rather than deficit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cullen's sign: Cullen's sign is a bluish discoloration around the umbilicus, indicating possible internal bleeding or a ruptured ectopic pregnancy. It is unrelated to hypocalcemia.
B. Chvostek's sign: Chvostek's sign is a spasm or twitching of the facial muscles when the facial nerve is tapped, which is a classic sign of hypocalcemia due to low calcium levels affecting neuromuscular function.
C. Brudzinski's sign: Brudzinski's sign involves involuntary flexion of the knees and hips when the neck is flexed, indicative of meningitis. It is unrelated to hypocalcemia.
D. Kernig's sign: Kernig's sign involves resistance to leg extension when the hip is flexed and is indicative of meningitis. It is not associated with hypocalcemia.
Correct Answer is C
Explanation
A. Hematocrit 45% (37% to 52%): This value is within the normal range for hematocrit. Dehydration may increase the hematocrit due to a relative increase in red blood cell concentration, but 45% is still within normal limits.
B. Creatinine 0.9 mg/dL (0.5-1.2 mg/dL): This value is within the normal range for creatinine, indicating normal kidney function.
C. BUN 25 mg/dL (10-20 mg/dL): An elevated BUN level is a sign of dehydration as it reflects increased protein breakdown and decreased renal perfusion. This value is above the normal range and should be reported to the provider.
D. Urine specific gravity 1.028 (1.005 to 1.030): This value is within the normal range and indicates that the kidneys are concentrating urine, which is typical in dehydration as the body tries to conserve water.
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.