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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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Checking for a positive Chvostek’s sign is not relevant. This sign is associated with hypocalcemia, not with the lab values provided.

Choice B rationale:

The nurse should request a potassium replacement. The normal range for potassium is 3.5-5.0 mEq/L. A level of 3.0 mEq/L is low, indicating hypokalemia.

Choice C rationale:

Administering glucagon IM is not appropriate. The glucose level is within the normal range (70-110 mg/dL), so there is no need for glucagon.

Choice D rationale:

Discontinuing the TPN infusion is not the first action. The nurse should address the abnormal lab value (low potassium) first.

A. Yoga. B. Aromatherapy. C. Reiki. D. Acupuncture.

Correct Answer is A

Explanation

Choice A rationale:

Yoga involves poses and meditation, which can help reduce stress and achieve wellness.

Choice B rationale:

Aromatherapy uses essential oils to promote health and well-being, but it does not involve poses or meditation.

Choice C rationale:

Reiki is a form of energy healing, but it does not involve poses or meditation.

Choice D rationale:

Acupuncture involves inserting needles at specific points on the body to promote healing, but it does not involve poses or meditation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dL, chloride 100 mEq/L, sodium 138 mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is caring for a client who wants information about a complementary or alternative healing modality to help her reduce stress.The nurse should suggest which of the following modalities in which the client can practice poses and meditation to achieve wellness?

Correct Answer is A

Explanation

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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?