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) Potassium level of 4.0 mEq/L: Normal range (3.5-5.0 mEq/L), does not indicate CKD.
(B) Blood urea nitrogen (BUN) of 18 mg/dL: BUN can fluctuate with hydration status and is not the most specific CKD marker.
(C) Serum creatinine of 5.0 mg/dL: Creatinine is a direct marker of kidney function. A level above 1.2 mg/dL suggests dysfunction, and 5.0 mg/dL is severely elevated, indicating CKD.
(D) Urine specific gravity of 1.015: Falls within the normal range (1.010-1.030), does not indicate CKD.
Correct Answer is B
Explanation
(A) Obtain a urine specimen: Important for diagnosis but not the priority over pain management.
(B) Administer prescribed analgesics: Pain relief is the priority in acute urolithiasis, as renal colic is excruciating.
(C) Encourage oral fluids: Helps prevent further stone formation but is secondary to pain relief.
(D) Prepare the patient for surgery: Surgery is only indicated for large, obstructing stones, not a first-line intervention.
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