Fluid volume deficit related to:

lack of exercise.

excessive food intake.

bed rest.

excessive GI losses.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Lack of exercise primarily affects the cardiovascular and musculoskeletal systems and is not a direct cause of fluid volume deficit. While it can indirectly impact overall health, it doesn't typically lead to significant fluid loss.

Choice B rationale

Excessive food intake, especially if high in sodium, can actually lead to fluid volume excess rather than deficit due to osmotic shifts and water retention.

Choice C rationale

Bed rest can lead to some fluid redistribution within the body but does not directly cause a significant loss of total body fluid. Immobility can affect other physiological processes more directly.

Choice D rationale

Excessive gastrointestinal losses, such as vomiting, diarrhea, or drainage from nasogastric tubes or ostomies, directly remove significant amounts of fluid and electrolytes from the body, leading to fluid volume deficit.

Nursing Test Bank

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Correct Answer is A

Explanation

Choice A rationale

This statement provides objective and descriptive information about the patient's condition following the venipuncture. It accurately describes the physical findings (painful, raised hematoma) and the location (outer left arm) and clearly links it to the medical procedure (after venipuncture) without making assumptions or assigning blame.

Choice B rationale

This statement is inappropriate as it is judgmental and accusatory towards the laboratory technician. Medical documentation should be objective and focus on the patient's condition and care, not on personal opinions or unsubstantiated claims about the skills of healthcare professionals.

Choice C rationale

This statement is speculative and attempts to explain the cause of the hematoma without factual basis. While patient movement can contribute to bruising, stating it as a likely cause without evidence is not objective documentation and could be inaccurate.

Choice D rationale

While this statement is factual in that it describes the presence of a bruise, it lacks important details such as the size, characteristics (e.g., raised, painful), and its direct association with the venipuncture, which are relevant for a comprehensive patient record.

A. The client stated, "struggle to see those little lines on the syringe.”. B. The client's FBS was 95 mg/dL. C. The client demonstrated proper technique when drawing up 8 units of insulin. D. The client seems to be more comfortable performing self-administration of insulin.

Correct Answer is D

Explanation

Choice A rationale

This is a direct quote from the client, providing subjective data about their difficulty with the syringe markings. Documenting client statements verbatim, enclosed in quotation marks, offers valuable insight into their perspective and experiences.

Choice B rationale

This is an objective finding, reporting a specific laboratory value (Fasting Blood Sugar). Documenting numerical data with units of measurement is essential for tracking trends and assessing the client's condition. The normal range for FBS is typically 70-100 mg/dL.

Choice C rationale

This documents an observed skill and the client's ability to perform a specific task correctly. Documenting observed behaviors and skills demonstrates the client's learning and competence in self-care activities.

Choice D rationale

The phrase "seems to be more comfortable" is a subjective interpretation by the nurse rather than an objective observation or a direct client statement. Documentation should primarily focus on factual observations, client statements, and measurable data rather than the nurse's personal opinions or assumptions.

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Fluid volume deficit related to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The laboratory technician must have had a hard time getting the blood sample drawn as the patient's arm is now bruised.The patient developed a large hematoma where the laboratory technician had drawn blood earlier in the shift.Which statement is appropriate to enter in the patient's chart?

Correct Answer is A

Explanation

A charge nurse is reviewing the documentation completed by a newly licensed nurse.Which of the following entries should the charge nurse recommend for revision?

Correct Answer is D

Explanation

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Which nursing leadership approach demonstrates decentralized management?

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A nurse is documenting in a client's health record using the problem-intervention-evaluation charting model (PIE). Which of the following information should be included in the Intervention?

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