A nurse is preparing to administer a transfusion of red blood cells to a client who has a history of heart failure. Which of the following manifestations would indicate that the client has fluid overload?
Dyspnea
Gastrointestinal bloating.
Weight loss of 4 pounds.
A blood pressure of 120/80.
The Correct Answer is A
A. Dyspnea is a common sign of fluid overload, especially in clients with heart failure.
B. Gastrointestinal bloating is not a typical manifestation of fluid overload.
C. Weight loss indicates fluid loss, not overload.
D. A blood pressure of 120/80 is normal and does not indicate fluid overload.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. GERD typically does not cause severe abdominal pain, rigidity, or flank bruising.
B. Diabetes does not present acutely with these symptoms.
C. Severe pancreatitis, especially after heavy alcohol use, can cause severe abdominal pain, rigid abdomen (sign of peritonitis), and flank bruising (Grey Turner’s sign).
D. COPD primarily affects the lungs and would not cause these abdominal symptoms.
Correct Answer is B
Explanation
A. Kidney function issues do not cause Type 2 diabetes.
B. Type 2 diabetes is primarily caused by insulin resistance (the body’s cells do not respond properly to insulin) and decreased insulin secretion over time.
C. Pancreatic infection destroying insulin-producing cells is not a common cause of Type 2 diabetes.
D. Destruction of insulin-secreting cells is characteristic of Type 1 diabetes, not Type 2.
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.