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Which of the following symptoms would a nurse monitor for in a patient with hypervolemia?

Edema

Tachycardia

Reduced Skin Turgor

Hypotension

Answer and Explanation

The Correct Answer is A

(A) Edema: Excess fluid accumulates in tissues, leading to swelling.

(B) Tachycardia: While tachycardia can occur in various conditions, it is not a primary symptom of hypervolemia.

(C) Reduced Skin Turgor: Seen in dehydration (hypovolemia), not fluid overload.

(D) Hypotension: Hypervolemia increases blood pressure, not lowers it.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"D"},"D":{"answers":"E"},"E":{"answers":"B"}}

Explanation

Syndrome of Inappropriate Antidiuretic Hormone (SIADH) → Hyponatremia

Excess ADH leads to water retention, diluting sodium levels.

Addison’s Disease → Hyperkalemia

Adrenal insufficiency leads to decreased aldosterone, causing potassium retention.

Hypoparathyroidism → Hypocalcemia

Lack of parathyroid hormone reduces calcium levels.

Diabetes Insipidus → Hypernatremia

Excessive water loss leads to sodium concentration increase.

Hyperparathyroidism → Hypercalcemia

Excess parathyroid hormone increases calcium release from bones.

A. Seizures B. Hyperreflexia C. Bradycardia D. Hypertension

Correct Answer is A

Explanation

(A) Seizures: Severe hyponatremia (Na+ < 120 mEq/L) can cause cerebral edema, leading to increased intracranial pressure and seizures.

(B) Hyperreflexia: More common in hypernatremia or hypocalcemia, not hyponatremia.

(C) Bradycardia: Severe hyponatremia usually causes tachycardia, not bradycardia.

(D) Hypertension: Hyponatremia often leads to hypotension due to fluid shifts.

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Which of the following symptoms would a nurse monitor for in a patient with hypervolemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Match the following conditions to the associated primary electrolyte imbalance:

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"D"},"D":{"answers":"E"},"E":{"answers":"B"}}

Explanation

A patient with a serum sodium level of 120 mEq/L is at risk for which condition? (Normal Sodium: 135-145 mEq/L)

Correct Answer is A

Explanation

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