The nurse documents that the client has a problem of fluid volume excess (FVE). Which intervention should the nurse include in the plan of care? Select all that apply.

Monitor blood glucose levels

Weigh the client daily

Prepare the client for hemodialysis

Restrict sodium in the client's diet

Change the IV fluid from 0.9% NS to D5W

Answer and Explanation

Correct Answer : B,D

A. Monitoring blood glucose levels is not directly related to managing fluid volume excess.
B. Weighing the client daily is essential for monitoring fluid retention and the effectiveness of interventions.
C. Preparing for hemodialysis is only necessary for severe fluid overload unresponsive to other treatments.
D. Restricting sodium in the diet helps prevent further fluid retention and supports management of FVE.
E. Changing IV fluids to D5W is not appropriate, as it could exacerbate fluid volume excess by increasing fluid load.

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Correct Answer is D

Explanation

A. Bradycardia is not typical in hypovolemia; tachycardia is more common as the body compensates for fluid loss.
B. Hypotension, rather than hypertension, occurs due to reduced blood volume.
C. Polyuria is not a feature of hypovolemia; decreased urine output is expected.
D. Cool, clammy skin is a classic sign of hypovolemic shock as blood flow to the skin decreases in response to blood loss.

A. Increased urinary frequency B. Erectile dysfunction C. Severe hematuria D. Bone pain and fractures

Correct Answer is D

Explanation

A. Increased urinary frequency can be a symptom but is more common in early stages or with benign prostatic hyperplasia.
B. Erectile dysfunction may occur but is not as specific to advanced prostate cancer.
C. Severe hematuria is not commonly associated with advanced prostate cancer.
D. Bone pain and fractures are common in advanced stages due to metastasis, particularly to the bones.

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The nurse documents that the client has a problem of fluid volume excess (FVE). Which intervention should the nurse include in the plan of care? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has experienced significant blood loss. Which of the following is a clinical sign of hypovolemia?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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