Which of the following is the best indicator of fluid balance in the body?

Intake and output

Lung sounds

Presence of edema

Weight

Answer and Explanation

The Correct Answer is A

A.   Monitoring fluid intake and output provides direct measurement of fluid balance in the body.
B.   Lung sounds may indicate fluid accumulation in the lungs but are not a direct measure of overall fluid balance.
C.   Edema may indicate fluid retention but does not provide comprehensive information about fluid balance throughout the body.
D.   While weight can be an indicator of fluid balance, it is influenced by factors other than fluid status, such as muscle mass and fat.

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Correct Answer is C

Explanation

A. These values are within the normal range and not indicative of chronic kidney disease.
B. While an elevated BUN is present, the serum creatinine level is within the normal range, which is not consistent with chronic kidney disease.
C. Both BUN and serum creatinine levels are elevated, indicating impaired kidney function and consistent with chronic kidney disease.
D. These values are within the normal range and not indicative of chronic kidney disease.

A. Use contact precautions. B. Administer ibuprofen prior to assisting with ADLS C. Measure rectal temperature every 4 hr. D. Administer a stool softener.

Correct Answer is D

Explanation

A. Leukemia itself doesn't necessitate contact precautions unless there are other specific infectious concerns, which are not mentioned in this scenario.
B. Ibuprofen is contraindicated in patients with low platelet counts due to the risk of bleeding. Therefore, administering ibuprofen would exacerbate the risk of bleeding in this patient.
C. Invasive procedures like rectal temperature measurements should be avoided in patients with low platelet counts due to the risk of bleeding. Thus, this intervention increases the risk of harm to the patient.
D. Patients with low platelet counts are at risk for bleeding, including gastrointestinal bleeding. Administering a stool softener can help prevent straining during bowel movements, reducing the risk of bleeding and promoting patient comfort and safety.

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Which of the following is the best indicator of fluid balance in the body?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory reports for a client who has chronic kidney disease. Which of the following laboratory reports should the nurse expect to find?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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