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A nurse is collecting data on a client who is experiencing hypervolemia. Which of the following findings should the nurse expect?

A.

Bradycardia

B.

Oliguria

C.

Peripheral edema

D.

Hypotension

Answer and Explanation

The Correct Answer is C

A. Bradycardia:
Explanation: Bradycardia refers to a slow heart rate. In hypervolemia (fluid overload), the heart often compensates by increasing the heart rate rather than causing bradycardia.

B. Oliguria:
Explanation: Oliguria refers to decreased urine output. In hypervolemia, the increased fluid volume can lead to increased urine output rather than oliguria.

C. Peripheral Edema:
Explanation: Peripheral edema, or swelling in the extremities, is a common manifestation of hypervolemia. Excess fluid can accumulate in the tissues.

D. Hypotension:
Explanation: Hypertension, not hypotension, is more commonly associated with hypervolemia. The increased volume of fluid in the blood vessels can lead to elevated blood pressure.
 


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Related Questions

Correct Answer is D

Explanation

A. Diminished reflexes:
Explanation: Diminished reflexes are not typically associated with hypoglycemia. Instead, hypoglycemia may cause hyperactive reflexes or tremors.

B. Rapid respirations:
Explanation: Rapid respirations are not a common manifestation of hypoglycemia. In hypoglycemia, the body might respond with shallow, rapid breathing or hyperventilation.

C. Acetone breath:
Explanation: Acetone breath, often described as fruity or sweet, is associated with diabetic ketoacidosis (DKA), which is a complication of hyperglycemia rather than hypoglycemia.

D. Headache:
Explanation: Headache is a common manifestation of hypoglycemia. It can occur as a result of decreased glucose levels affecting the brain.

Correct Answer is B, A, C, D

Explanation

B. Inject 20 units of air into the NPH insulin vial. Injecting air into the NPH vial first helps equalize the pressure. A. Inject 10 units of air into the regular insulin vial. This prepares the regular insulin vial for withdrawal without creating a vacuum. C. Withdraw 10 units of regular insulin. After injecting air into the regular insulin vial, withdraw the regular insulin first to avoid contaminating it with the NPH insulin. D. Withdraw 20 units of NPH insulin. Finally, withdraw the NPH insulin after the regular insulin.

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