A nurse is collecting data on a client who has circulatory overload. Which of the following findings should the nurse expect?

Tachycardia

Weight loss

Hypotension

Diaphoresis

Answer and Explanation

The Correct Answer is A

Choice A reason: Tachycardia is a sign of circulatory overload. Circulatory overload is a condition where the blood volume or rate of infusion is too high for the client's cardiovascular system. This causes the heart to beat faster and harder to pump the excess fluid, resulting in a high heart rate, or tachycardia.

Choice B reason: Weight loss is not a sign of circulatory overload. Weight loss is a condition where the body loses more calories than it consumes, resulting in a decrease in body mass. Weight loss can be caused by various factors, such as diet, exercise, illness, or medication. Weight gain, not weight loss, is a sign of circulatory overload, as the excess fluid accumulates in the body.

Choice C reason: Hypotension is not a sign of circulatory overload. Hypotension is a condition where the blood pressure is too low, which can impair the blood flow to the vital organs. Hypotension can be caused by various factors, such as dehydration, bleeding, shock, or medication. Hypertension, not hypotension, is a sign of circulatory overload, as the excess fluid increases the pressure in the blood vessels.

Choice D reason: Diaphoresis is not a sign of circulatory overload. Diaphoresis is a condition where the body sweats excessively, which can help to regulate the body temperature and eliminate toxins. Diaphoresis can be caused by various factors, such as fever, anxiety, exercise, or medication. Edema, not diaphoresis, is a sign of circulatory overload, as the excess fluid leaks into the interstitial spaces and causes swelling.

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Correct Answer is A

Explanation

Choice A reason: Caffeinated beverages can cause diarrhea by stimulating the intestinal motility and increasing the fluid loss. They can also irritate the lining of the stomach and intestines.

Choice B reason: Low-fiber cereal is not likely to cause diarrhea. Fiber helps to bulk up the stool and regulate the bowel movements. Low-fiber foods are often recommended for clients with diarrhea to reduce intestinal activity.

Choice C reason: White rice is not likely to cause diarrhea. It is a bland and starchy food that can help to bind the stool and reduce fluid loss. White rice is often part of the BRAT diet (bananas, rice, applesauce, toast) that is suggested for clients with diarrhea.

Choice D reason: Ripe bananas are not likely to cause diarrhea. They are rich in potassium, which can help to replenish the electrolytes lost due to diarrhea. They also contain pectin, a soluble fiber that can help to firm up the stool.

A. Iron supplements B. Magnesium-containing antacids C. Antibiotics D. Anticholinergics/antispasmodics E. Opioid narcotics

Correct Answer is ["A","D","E"]

Explanation

Choice A: Iron supplements are used to treat iron-deficiency anemia, but they can also reduce the motility of the gastrointestinal tract and make the stools harder and drier¹². This can lead to difficulty in passing stools and increased straining.
Choice B: Magnesium-containing antacids are used to treat heartburn and acid reflux, but they can also have a laxative effect and cause diarrhea¹³. This is because magnesium draws water into the intestines and stimulates bowel movements.
Choice C: Antibiotics are used to treat bacterial infections, but they can also disrupt the normal flora of the gut and cause diarrhea¹⁴. This is because antibiotics can kill the beneficial bacteria that help digest food and prevent the overgrowth of harmful bacteria that cause inflammation and infection.
Choice D: Anticholinergics/antispasmodics are used to treat overactive bladder, irritable bowel syndrome, and other conditions that involve muscle spasms in the gut, but they can also slow down the movement of the intestines and relax the muscles that help push the stools out¹ . This can lead to reduced frequency and difficulty in defecation.
Choice E: Opioid narcotics are used to treat moderate to severe pain, but they can also block the signals from the brain to the gut and inhibit the contraction of the intestinal muscles¹ . This can lead to decreased bowel activity and accumulation of hard and dry stools.

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A nurse is collecting data on a client who has circulatory overload. Which of the following findings should the nurse expect?

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