A nurse is monitoring a client who is admitted with severe hemorrhage from traumatic injury who is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

Weight

Heart rate

Urine output

Answer and Explanation

The Correct Answer is B

A. Weight may fluctuate but is not a direct indication of immediate fluid resuscitation adequacy.
B. A decrease in heart rate is a sign of improved perfusion and stabilization, suggesting that fluid replacement is effective in compensating for blood loss.
C. Adequate fluid replacement is indicated by an increase, not a decrease, in urine output.
D. Blood pressure should stabilize or increase with fluid replacement, rather than decrease.

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Correct Answer is D

Explanation

A. Urine-specific gravity provides information on the kidney's ability to concentrate urine but is not the most direct measure of renal function.
B. Blood urea nitrogen (BUN) can indicate kidney function but is influenced by factors other than kidney health, such as hydration status and protein intake.
C. Serum sodium levels are not a specific indicator of renal function and can vary based on many factors unrelated to kidney health.
D. Serum creatinine is the best indicator of renal function, as it is produced from muscle metabolism and cleared by the kidneys; elevated levels indicate decreased renal function.

Correct Answer is []

Explanation

Condition Most Likely Experiencing:

Type 1 diabetes

Actions to Take:

Teach the client about the signs of hyperglycemia.
Assess the client’s feet for sensation.

Parameters to Monitor:

Fingerstick blood glucose
Blood pressure

Rationale: The client has a high HbA1c (8.4%) and elevated blood glucose level (235 mg/dL), indicating poor blood glucose control. Symptoms such as fatigue, blurred vision, and dizziness suggest hyperglycemia, which can occur in clients with diabetes who have not been able to maintain regular glucose monitoring or insulin administration due to financial constraints. Teaching the client about hyperglycemia symptoms and checking feet for sensation is important due to the risk of complications like neuropathy. Monitoring blood glucose and blood pressure is essential for evaluating diabetes management and preventing complications.

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A nurse is monitoring a client who is admitted with severe hemorrhage from traumatic injury who is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

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Naxlex Comprehensive Predictor Exams

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Explanation

Correct Answer is []

Explanation

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