quick Support- Getscreen.me sunny 5 go.getscreen.me/turbo/942218687 HESI A10:36 - MPL-LC2-12- Gets Creer X Question 38 of 85 1320798 Q Lahr 25min 33s remaining O A Lung sounds. OB Turgor. A client with fluid volume overload is admitted to the hospital for diuresis. Which assessment should the nurse perform to evaluate the client's fluid balance? C Weight. D Blood pressure. Copyright 2024 Elsevier inc., its licensors, and contributors. All rights are reserved, including those for text and data mining. Al training, and similar technologies. Q Search Having Trouble? Contact Support Submit answer and casualize Exam Submit and Continue Show calculator ENG INTL VL380
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A client with fluid volume overload is admitted to the hospital for diuresis. Which assessment should the nurse perform to evaluate the client's fluid balance?

Lung sounds.

Turgor.

Weight.

Blood pressure.

Here's the edited text with the instructions applied:

Answer and Explanation

The Correct Answer is C

Choice A reason: Lung sounds are important to assess for signs of fluid in the lungs, such as crackles, which can occur with fluid volume overload. However, they do not directly measure fluid balance.

Choice B reason: Turgor assesses skin elasticity and hydration status, but it is not the most accurate indicator of overall fluid balance in the context of fluid volume overload.

Choice C reason: Weight is the most accurate and direct measure of fluid balance. Daily weight monitoring can track changes in fluid status, as weight fluctuations can reflect gains or losses in body fluid.

Choice D reason: Blood pressure is important to monitor, especially in clients with fluid volume issues, but it is not the most direct measure of fluid balance. Weight changes provide more precise information about fluid status.

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Correct Answer is B

Explanation

Choice A reason: Testing the urine for the presence of haematuria is important for diagnosing a urinary tract infection (UTI) or kidney stones, but it is not the most immediate intervention. Haematuria indicates blood in the urine, but assessing the client's vital signs is more urgent to determine if there is an acute issue that requires immediate attention.

Choice B reason: Measuring her temperature and heart rate is the most critical first step. These vital signs can provide immediate information about the client's overall condition and help identify potential systemic infection (fever) or hemodynamic instability (tachycardia). This information is essential for prioritizing further interventions and determining the urgency of the situation.

Choice C reason: Evaluating the urine for a strong Odor can help identify the presence of a UTI, but it is not as immediately critical as assessing the client's vital signs. Changes in urine Odor can support a diagnosis, but they do not provide the urgent information needed to assess the client's immediate health status.

Choice D reason: Palpating the right flank for tenderness is important for assessing kidney involvement, such as in cases of pyelonephritis (kidney infection). However, this physical examination should follow the assessment of vital signs to ensure the client is stable and not in immediate danger.

A. Decrease foods high in fat or trans fats. B. Eliminate caffeine and chocolate. C. Augment intake of dairy products. D. Increase intake of insoluble fibber.

Correct Answer is D

Explanation

Choice A reason: Decreasing foods high in fat or trans fats is generally good for overall health, but it is not specifically related to managing diverticulosis. Focusing on fibber intake is more important for this condition.

Choice B reason: Eliminating caffeine and chocolate might be helpful for certain digestive issues, but it is not directly related to diverticulosis management. The primary concern for diverticulosis is to ensure adequate fibber intake to promote regular bowel movements and prevent complications.

Choice C reason: Augmenting the intake of dairy products is not directly beneficial for diverticulosis and could potentially cause discomfort in individuals who are lactose intolerant. It is not a recommended dietary modification for this condition.

Choice D reason: Increasing the intake of insoluble fibber is crucial for managing diverticulosis. Insoluble fibber helps to increase stool bulk and promote regular bowel movements, which can reduce the risk of diverticula formation and prevent flare-ups of diverticulitis. Foods rich in insoluble fibber include whole grains, vegetables, and fruits.

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Correct Answer is D

Explanation

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