On admission, a patient weighs 250 pounds. The weight is recorded as 256 pounds on the second inpatient day. Which condition will the nurse assess for in this patient?
Fluid retention
Increased nutritional intake
Anorexia
Weight loss
The Correct Answer is A
a) Fluid retention: A weight increase of 6 pounds in 1 day is significant and may indicate fluid retention, which is commonly seen in conditions like heart failure or kidney disease.
b) Increased nutritional intake: A 6-pound weight gain is unlikely to be due to nutritional intake alone, especially over just a two-day period. This would more likely be seen over a longer timeframe.
c) Anorexia: Anorexia is associated with weight loss, not weight gain.
d) Weight loss: The patient has gained weight, not lost it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["150"]
Explanation
To determine the infusion rate in mL/hr, divide the total volume (75 mL) by the time in hours (0.5 hours, since 30 minutes is 0.5 hours).
Rate(mL/hr)
= 75 ÷0.5
=150mL/hr
Correct Answer is D
Explanation
a) School-age child: While a school-age child is at risk for dehydration, their fluid and electrolyte imbalance risk is less than that of an infant due to greater reserve and more effective compensatory mechanisms.
b) Adolescent: Similar to the school-age child, an adolescent is at lower risk for severe fluid and electrolyte imbalances due to a better-developed system to handle fluid loss.
c) Young adult: While diarrhea can lead to dehydration in young adults, they are generally more capable of compensating for mild to moderate fluid losses compared to infants.
d) Infant: Infants are at the highest risk for severe fluid and electrolyte imbalance due to their smaller body size, higher fluid turnover, and less efficient compensatory mechanisms. Dehydration can develop quickly in infants.
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