A client who is postoperative is receiving IV fluids and a unit of whole blood.
The nurse should observe the client for which of the following as an early sign of circulatory overload?
Bradycardia.
Dyspnea.
Flushing.
Vomiting.
The Correct Answer is B
Choice A rationale:
Bradycardia, or a slow heart rate, is not typically an early sign of circulatory overload.
Choice B rationale:
Dyspnea, or difficulty breathing, is an early sign of circulatory overload. This occurs because the heart is unable to pump the excess blood effectively, leading to fluid buildup in the lungs.
Choice C rationale:
Flushing, or reddening of the skin, is not typically an early sign of circulatory overload.
Choice D rationale:
Vomiting is not typically an early sign of circulatory overload.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Initiating diuretic therapy is incorrect because it would further decrease the client’s already low calcium level.
Choice B rationale:
Implementing seizure precautions is correct because hypocalcemia can cause neuromuscular irritability and seizures.
Choice C rationale:
Preparing the client for hemodialysis is incorrect because it is not the first-line treatment for hypocalcemia.
Choice D rationale:
Administering phosphate is incorrect because it would further decrease the client’s already low calcium level.
Correct Answer is A
Explanation
Choice A rationale:
Vitamin A is a fat-soluble vitamin. Clients with acute pancreatitis often have difficulty absorbing fat, including fat-soluble vitamins, so supplementation may be necessary.
Choice B rationale:
Vitamin C is a water-soluble vitamin, not a fat-soluble vitamin.
Choice C rationale:
Vitamin B12 is a water-soluble vitamin, not a fat-soluble vitamin.
Choice D rationale:
Vitamin B is a water-soluble vitamin, not a fat-soluble vitamin.
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