The nursing diagnosis of Excess Fluid Volume is made for a patient with chronic kidney disease. Which of the following data is most important for the nurse to collect for this patient based on the nursing diagnosis?

daily weight

vital signs

intake and output

skin turgor

Answer and Explanation

The Correct Answer is C

A.   Daily weight monitoring is important for assessing fluid status but may not provide real-time information about fluid balance changes.
B.   Vital signs are important for overall assessment but may not specifically address the nursing diagnosis of Excess Fluid Volume unless there are significant changes indicative of fluid overload or dehydration.
C.   Monitoring intake and output provides direct information about fluid balance and renal function, helping to identify trends and assess the effectiveness of interventions aimed at managing fluid volume.
D.   Skin turgor assessment is useful for evaluating hydration status but may not provide comprehensive data on fluid volume excess alone.

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Correct Answer is A

Explanation

A. Atrial flutter is characterized by a regular rhythm with rapid atrial contractions (flutter waves) that have a sawtooth appearance on the ECG tracing.
B. Ventricular tachycardia typically presents with a wide QRS complex and is often associated with hemodynamic instability.
C. Atrial fibrillation is characterized by irregularly irregular rhythm with no distinct P waves and irregular ventricular response.
D. Sinus tachycardia is characterized by a regular rhythm with a heart rate greater than 100 beats per minute originating from the sinus node.

A. "I will drink more energy drinks." B. "I will drink red wine with dinner." C. "I will eat fewer potassium-rich foods." D. "I will drink decaffeinated coffee."

Correct Answer is D

Explanation

A. Energy drinks containing caffeine can exacerbate palpitations and should be avoided.
B. Alcohol, including red wine, can trigger or worsen palpitations and should be limited or avoided.
C. Potassium-rich foods are not typically associated with palpitations. In fact, maintaining normal potassium levels is important for heart health.
D. Caffeine can trigger palpitations in susceptible individuals, so switching to decaffeinated coffee may help reduce symptoms.

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The nursing diagnosis of Excess Fluid Volume is made for a patient with chronic kidney disease. Which of the following data is most important for the nurse to collect for this patient based on the nursing diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reading a cardiac monitor of a patient and observes a regular rhythm, and the P waves have a sawtooth pattern. The nurse recognizes this as which arrhythmia?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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