A postoperative patient is diagnosed with fluid volume overload. What should the nurse expect to assess in this patient?

Distended neck veins.

Poor skin turgor.

Concentrated hemoglobin and hematocrit levels.

Decreased urine output.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Fluid volume overload is an excess of fluid in the intravascular and/or interstitial spaces. One of the hallmark signs of fluid volume overload is distended neck veins, which indicates increased venous pressure due to the accumulation of fluid. The neck veins become more visible and prominent, especially when the patient is in a semi-Fowler's position.

Choice B rationale:

Poor skin turgor is a sign of dehydration, not fluid volume overload. It is characterized by the skin's inability to return to its normal position after being gently pinched. In fluid volume overload, the skin may become edematous and puffy, but it does not exhibit poor turgor.

Choice C rationale:

Concentrated hemoglobin and hematocrit levels are seen in conditions of dehydration or hemoconcentration, not in fluid volume overload. In fluid volume overload, there is excess fluid, which may lead to dilutional effects, resulting in decreased concentration of blood components.

Choice D rationale:

Decreased urine output is associated with fluid volume deficit (dehydration) rather than fluid volume overload. In fluid volume overload, there is often an increase in urine output as the body tries to eliminate the excess fluid.

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Free Nursing Study Resources

Correct Answer is ["A","D"]

Explanation

The correct answer is A. Limit intake of canned soups and D. Read labels on foods before eating.

Choice A rationale:

Canned soups often contain high levels of sodium, which can contribute to exceeding the recommended daily sodium intake. Limiting these can help manage sodium levels effectively.

Choice B rationale:

Choosing diet sodas over bottled water is not advisable. Diet sodas can still contain sodium and other additives that are not beneficial for a low-sodium diet. Bottled water is a better choice as it typically contains no sodium.

Choice C rationale:

Bottled salad dressings often contain high amounts of sodium. Opting for homemade or low-sodium versions is a better strategy for maintaining a low-sodium diet.

Choice D rationale:

Reading labels on foods before eating is crucial for identifying hidden sources of sodium and making informed dietary choices. This practice helps in adhering to a low-sodium diet by avoiding foods with high sodium content.

: 3

A. Restoration of QRS Complex amplitude. B. Shortening of P-wave duration. C. Widening of the QRS complex. D. Reduction of T-wave amplitude.

Correct Answer is D

Explanation

The correct answer is choice D: Reduction of T-wave amplitude.

Choice A rationale:

The amplitude of the QRS complex is not directly affected by changes in serum potassium levels. It represents ventricular depolarization, and its restoration would not be an expected outcome of polystyrene sulfonate treatment

Choice B rationale:

Shortening of the P-wave duration is not an expected change with polystyrene sulfonate treatment. The P-wave represents atrial depolarization, which is not significantly impacted by the administration of this medication

Choice C rationale:

Widening of the QRS complex is associated with high serum potassium levels. The goal of polystyrene sulfonate treatment is to lower potassium levels and, thus, return the QRS complex to its normal width

Choice D rationale:

Polystyrene sulfonate aims to reduce serum potassium levels. When effective, this should result in a reduction of T-wave amplitude, which is a common ECG change seen with hyperkalemia

In conclusion, choice D is the correct answer, as a reduction in T-wave amplitude would be the expected change on the client's ECG if polystyrene sulfonate effectively lowers their serum potassium level.

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A postoperative patient is diagnosed with fluid volume overload. What should the nurse expect to assess in this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is on a low-sodium diet. Which of the following instructions should the nurse include? (Select All that Apply.).

Correct Answer is ["A","D"]

Explanation

A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The provider prescribes polystyrene sulfonate. If this medication is effective, the nurse should expect which of the following changes on the client's ECG?

Correct Answer is D

Explanation

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