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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
(A) Positive Inotropic Effect: Sotalol does not increase contractility; it weakens contractions, making it a negative inotrope.
(B) Hypertension: Sotalol primarily lowers blood pressure and heart rate, which can actually cause hypotension.
(C) Negative Inotropic Effect: Sotalol is a beta-blocker that decreases myocardial contractility, which can further reduce cardiac output in heart failure patients.
(D) Hypercholesterolemia: Sotalol does not significantly impact cholesterol levels.
Correct Answer is A
Explanation
(A) Tetany: Hypocalcemia increases neuromuscular excitability, leading to muscle cramps, spasms, and tetany (involuntary muscle contractions).
(B) Hypertension: Hypocalcemia does not directly cause hypertension; it may lead to hypotension.
(C) Constipation: Hypercalcemia, not hypocalcemia, causes constipation.
(D) Polyuria: Hypercalcemia leads to polyuria, while hypocalcemia does not.
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