You are explaining the importance of strict intake and output for patients with pulmonary alterations. What is the rationale for careful intake and output for patients with pulmonary alterations?
Excessive fluid losses may lead to dehydration and hypovolemic shock.
Hemodilution may cause deleterious hypernatremia.
Fluid volume excess can lead to right-sided heart failure.
Fluid retention occurs with tachypnea.
The Correct Answer is C
A. Excessive fluid losses may lead to dehydration, but this is not typically a primary concern for patients with pulmonary alterations unless there is significant vomiting, diarrhea, or blood loss.
B. Hemodilution is not a common concern in patients with pulmonary alterations. Hypernatremia typically occurs with fluid loss or inadequate fluid intake, but it is not a direct concern related to pulmonary issues.
C. Fluid volume excess can lead to right-sided heart failure in patients with pulmonary alterations. If fluid accumulates, it can worsen pulmonary symptoms and increase the workload on the heart, potentially leading to right-sided heart failure.
D. Fluid retention with tachypnea is not typically a direct cause of fluid retention. While tachypnea is associated with respiratory distress, fluid retention is more closely linked to heart failure or kidney dysfunction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["104"]
Explanation
Convert days to hours:
- 1 day 24 hours/day = 24 hours 1
Calculate the hourly rate:
- 2500 mL / 24 hours = 104.1666... mL/hour
Round to the nearest whole number:
- 104 mL/hour
Correct Answer is A
Explanation
A. Insulin can be added to the TPN to control blood sugar levels. TPN often leads to hyperglycemia, and insulin is commonly added to the solution to regulate glucose levels.
B. Discontinuing the infusion would not address the hyperglycemia and would risk nutrient deficiencies.
C. Weaning from TPN may be indicated when discontinuing the nutrition support, but it is not a direct intervention for hyperglycemia.
D. Starting an infusion of 0.9% normal saline would not address the hyperglycemia directly and may not be effective in managing the glucose levels.
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