A nurse is monitoring a 14 year old adolescent who was admitted with a severe burn injury and shock and is receiving IV fluid resuscitation therapy. Assessment findings: Temperature 36.5C, HR 122, Respirations 22, BP 108/68. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
BP
Heart rate
Weight
Urine output
The Correct Answer is B
A. Blood pressure may fluctuate but is less sensitive as an early indicator of fluid resuscitation efficacy.
B. A decrease in heart rate is a sign of improved hydration status, as tachycardia is often a compensatory response to hypovolemia.
C. Weight is not used as an immediate indicator for fluid resuscitation adequacy.
D. Urine output should increase with adequate fluid resuscitation; a decrease in urine output would indicate worsening.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","F"]
Explanation
A. Development of skin tags is a common manifestation due to hormonal changes associated with acromegaly.
B. A softening voice can occur due to enlargement of the vocal cords and surrounding tissues.
C. Weakness in voluntary muscles may result from hormonal effects on muscle tissue over time.
D. Involution typically refers to the reduction in size or activity of an organ or tissue, which is not characteristic of acromegaly.
E. Altered vital signs may occur, but are not specific or unique clinical manifestations of acromegaly.
F. Soft tissue swelling is a prominent feature due to excess growth hormone leading to tissue enlargement.
Correct Answer is C
Explanation
A. SLE can affect multiple organs, not just the skin.
B. SLE is a chronic autoimmune disease and is not curable, though symptoms can be managed.
C. SLE is a lifelong autoimmune condition that has periods of remission and flare-ups.
D. Although SLE affects joints, it can also impact organs like the kidneys, heart, and lungs.
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.
