A client is experiencing symptoms of fluid overload.
Which of the following interventions would the nurse anticipate as appropriate for this client?
Administering a diuretic medication.
Encouraging increased fluid intake.
Providing a high-sodium diet.
Elevating the affected extremities.
The Correct Answer is A
Fluid overload, also called hypervolemia, is a condition in which the body has too much water.
It can cause edema, hypertension, shortness of breath, and cardiovascular problems.
Diuretics are medications that help the body remove excess fluid through urine.
They are commonly used to treat fluid overload caused by heart failure, kidney failure, cirrhosis, and other conditions.
Choice B is wrong because encouraging increased fluid intake would worsen the fluid overload and increase the risk of complications.
Choice C is wrong because providing a high-sodium diet would also worsen the fluid overload and increase the risk of complications.
Sodium is an electrolyte that regulates fluid balance in the body.
Excess sodium intake can cause water retention and increase blood pressure.
Choice D is wrong because elevating the affected extremities is not an appropriate intervention for fluid overload.
Elevating the extremities can help reduce swelling caused by local factors such as injury or inflammation, but it does not address the underlying cause of fluid overload.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Nasogastric suction removes gastric secretions that contain potassium, leading to a loss of potassium from the body. This can cause hypokalemia, which is a low level of potassium in the blood.
Choice A is wrong because Addison’s disease causes hyperkalemia, which is a high level of potassium in the blood.
Choice B is wrong because tissue damage can release potassium from the cells into the blood, causing hyperkalemia.
Choice C is wrong because uric acid level is not related to potassium level.
Uric acid is a waste product of purine metabolism that can cause gout or kidney stones if elevated.
Correct Answer is B
Explanation
Hyponatremia is a condition where sodium levels in your blood are lower than normal. This can cause symptoms such as nausea, headache, confusion, muscle weakness and seizures. A hypertonic saline solution is a fluid that has a higher concentration of sodium than normal blood. It can help restore the sodium balance and prevent or treat the complications of hyponatremia.
Choice A is wrong because restricting fluid intake may not be enough to correct severe hyponatremia and may worsen the symptoms if the cause is sodium loss.
Choice C is wrong because encouraging increased fluid intake may further dilute the sodium levels and worsen the condition.
Choice D is wrong because administering a loop diuretic may increase the urine output and cause more sodium loss, leading to more severe hyponatremia.
Normal ranges for blood sodium levels are between 135 and 145 milliequivalents per liter (mEq/L).
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today