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 A

Explanation

A. Regular insulin is the only type of insulin approved for intravenous administration and is commonly used to treat diabetic ketoacidosis (DKA) for its rapid effect.
B. NPH insulin is an intermediate-acting insulin and is not appropriate for the acute management of DKA.
C. Insulin detemir is a long-acting insulin that does not act quickly enough for DKA.
D. Insulin glargine is also a long-acting insulin and is not suitable for immediate correction of DKA.

Correct Answer is ["56"]

Explanation

To calculate the flow rate for an IV bolus of Ringer's lactate to be infused over 3 hours, you would use the formula: (Volume in mL * Drop factor) / Time in minutes. For 500 mL of Ringer's lactate with a drop factor of 20 gtt/mL over 180 minutes (3 hours), the calculation would be (500 * 20) / 180, which equals 55.55. Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 56 gtt/min.

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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

Correct Answer is A

Explanation

Correct Answer is ["56"]

Explanation

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