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 A
Explanation
(A) Severe Dehydration: Prerenal AKI is caused by reduced blood flow to the kidneys. Dehydration leads to hypovolemia, reducing renal perfusion and causing AKI.
(B) Renal Calculi: Postrenal AKI, not prerenal.
(C) Polycystic Kidney Disease: Chronic kidney disease, not acute.
(D) Glomerulonephritis: Intrarenal AKI, due to direct kidney damage
Correct Answer is A
Explanation
(A) Seizures: Severe hyponatremia (Na+ < 120 mEq/L) can cause cerebral edema, leading to increased intracranial pressure and seizures.
(B) Hyperreflexia: More common in hypernatremia or hypocalcemia, not hyponatremia.
(C) Bradycardia: Severe hyponatremia usually causes tachycardia, not bradycardia.
(D) Hypertension: Hyponatremia often leads to hypotension due to fluid shifts.
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