Which IV fluid is the most appropriate for treating acute Diabetes insipidus (DI)?

3% Normal Saline (3% NaCl)

Dextrose 5% in water (D5W)

Lactated Ringer's (LR)

Normal Saline (0.9% NaCl)

Answer and Explanation

The Correct Answer is B

Choice A reason: 3% Normal Saline (3% NaCl) is not appropriate for treating acute Diabetes insipidus because it is hypertonic and can exacerbate dehydration, which is a primary concern in DI.
Choice B reason: Dextrose 5% in water (D5W) is appropriate for treating acute Diabetes insipidus as it provides free water without electrolytes, helping to correct the water deficit without causing electrolyte imbalances.
Choice C reason: Lactated Ringer's (LR) is not suitable for treating acute Diabetes insipidus because it contains electrolytes that can worsen the electrolyte imbalance in DI patients.
Choice D reason: Normal Saline (0.9% NaCl) can be used for treating acute Diabetes insipidus but it is not the most appropriate choice as it does not provide free water, which is needed to address the water deficit in DI patients.

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Correct Answer is ["C","E","F"]

Explanation

Choice A reason: Applying a clean, dry dressing over the VTE/DVT site is not necessary. VTE/DVT usually involves deep veins where there are no visible wounds requiring dressings. This instruction is irrelevant to the management and discharge instructions for a patient with DVT on anticoagulant therapy.
Choice B reason: Monitoring activated partial thromboplastin time (aPTT) results is relevant for heparin therapy, not for warfarin. Warfarin therapy is monitored using the international normalized ratio (INR). Therefore, this instruction is not appropriate for a patient being discharged on warfarin.
Choice C reason: Administering the warfarin dose at the same time each day is crucial for maintaining consistent blood levels of the medication, ensuring its effectiveness. It helps to maintain steady anticoagulation and reduces the risk of complications associated with fluctuating blood levels of warfarin.
Choice D reason: Instructing the patient to take aspirin or NSAIDs as needed for pain is inappropriate because these medications can increase the risk of bleeding when taken with warfarin. Patients on warfarin should avoid these medications and use alternatives like acetaminophen (Tylenol) for pain relief.
Choice E reason: Advising the patient to use electric razors, not straight razors, when shaving is important to prevent cuts and bleeding. Warfarin increases the risk of bleeding, and using an electric razor minimizes the chance of nicks and cuts that could lead to significant bleeding.
Choice F reason: Monitoring the level of anticoagulation with warfarin using INR results is essential. Regular INR monitoring ensures that the patient maintains a therapeutic level of anticoagulation and helps prevent both clotting and bleeding complications. Adjustments to the warfarin dose are made based on INR results.

A. Cyanosis and hypertension. B. Dysrhythmias and expiratory wheezing. C. Pulmonary edema and fibrosis. D. Dyspnea and increased heart rate.

Correct Answer is D

Explanation

Choice A reason: Cyanosis and hypertension are not typically associated with severe anemia. While anemia can lead to tissue hypoxia, cyanosis is more related to respiratory or cardiovascular problems, and hypertension is not a common consequence of anemia.
Choice B reason: Dysrhythmias and expiratory wheezing are not directly related to severe anemia. Dysrhythmias can occur in severe cases due to the heart's increased workload, but expiratory wheezing is generally associated with respiratory conditions like asthma or chronic obstructive pulmonary disease (COPD).
Choice C reason: Pulmonary edema and fibrosis are not linked to severe anemia. These conditions are related to heart failure, lung injury, or chronic lung diseases, rather than anemia.
Choice D reason: Dyspnea and increased heart rate are expected findings in a severely anemic patient. Dyspnea, or difficulty breathing, occurs because the body is not getting enough oxygen due to the reduced number of red blood cells. The heart rate increases as a compensatory mechanism to deliver more oxygenated blood to the tissues.

View Question and Answer

Test	Result	Normal Range
ALT (Alanine Aminotransferase)	1.200 U/L	7-56 U/L
AST (Aspartate Aminotransferase)	1.000 U/L	10-40 U/L
Total Bilirubin	5.5 mg/dL	0.1-1.2 mg/dL
Hepatitis A IgM	Positive	Negative

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Which IV fluid is the most appropriate for treating acute Diabetes insipidus (DI)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["C","E","F"]

Explanation

In a severely anemic patient, which assessment findings would the nurse expect to find?

Correct Answer is D

Explanation

Order the steps for completing a blood transfusion.

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