A patient is receiving intravenous fluids postoperatively. Which of the following signs indicates fluid volume overload?
Decreased Skin Turgor
Jugular Venous Distension
Hypotension
Dry Mucous Membranes
The Correct Answer is B
(A) Decreased Skin Turgor: Seen in dehydration, not fluid overload.
(B) Jugular Venous Distension (JVD): A classic sign of fluid overload due to increased central venous pressure and right-sided heart strain.
(C) Hypotension: Overload causes hypertension, not hypotension.
(D) Dry Mucous Membranes: Seen in dehydration
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
(A) Hydrochlorothiazide: A thiazide diuretic used for hypertension, not ICP.
(B) Spironolactone: A potassium-sparing diuretic used for heart failure, not ICP.
(C) Furosemide: A loop diuretic that reduces fluid overload but is not the first choice for ICP management.
(D) Mannitol: An osmotic diuretic that reduces brain swelling by drawing fluid out of the brain and into the bloodstream.
Correct Answer is A
Explanation
(A) Promote diuresis and reduce ascites: Spironolactone is a potassium-sparing diuretic used in cirrhosis to help manage fluid retention and ascites caused by portal hypertension.
(B) Prevent worsening liver damage: Spironolactone does not directly protect the liver.
(C) Reduce blood pressure: Though it can lower BP, this is not its primary use in cirrhosis.
(D) Increase urine output without affecting potassium levels: It spares potassium, but monitoring is still needed to prevent hyperkalemia.
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