Fluid volume deficit related to:
lack of exercise.
excessive food intake.
bed rest.
excessive GI losses.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0438"]
Explanation
Step 1: Add 12 to the hour if the time is PM. Since 4: am is in the morning, no change to the hour is needed.
Step 2: Combine the hour and minutes, separated by a colon. The military time is 0438.
Correct Answer is A
Explanation
Choice A rationale
A risk nursing diagnosis, such as "risk for impaired skin integrity related to inadequate nutrition," identifies a potential problem that does not currently exist but has a high probability of developing if no preventative nursing interventions are implemented. It focuses on the patient's vulnerability to a specific health problem.
Choice B rationale
All nursing diagnoses, including risk diagnoses, require the development of specific nursing interventions aimed at preventing the potential problem from occurring or minimizing its impact. These interventions are crucial for addressing the identified risk factors and promoting patient well-being.
Choice C rationale
Evaluation is a critical component of the nursing process for all nursing diagnoses. The effectiveness of the nursing interventions implemented for a risk diagnosis must be evaluated to determine if they successfully prevented the problem from developing. This ongoing assessment ensures the plan of care is appropriate and achieving the desired outcomes.
Choice D rationale
Nursing diagnoses, including risk diagnoses, are within the scope of nursing practice and guide independent nursing interventions. While collaboration with the medical team is essential for overall patient care, risk diagnoses do not inherently necessitate medical intervention as the primary focus is on preventative nursing actions.
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