A nurse in a critical care unit is assessing an adult client. Which of the following findings by the nurse indicates a fluid volume deficit?
Heart rate 118/min
Central venous pressure 25 mm Hg
Blood pressure 152/90 mm Hg
Temperature 37.2° C (99° F)
The Correct Answer is A
A. A heart rate of 118/min suggests tachycardia, which is a compensatory mechanism in response to fluid volume deficit. The body increases heart rate to maintain cardiac output when fluid volume is low.
B. A central venous pressure of 25 mm Hg may indicate fluid volume overload rather than deficit. It suggests increased venous pressure, possibly due to excess fluid.
C. A blood pressure of 152/90 mm Hg is within the normal range and does not specifically indicate fluid volume deficit.
D. A temperature of 37.2°C (99°F) is within the normal range and does not specifically indicate fluid volume deficit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Pork and its by-products, such as ham, are prohibited in strict halal dietary guidelines.
B. Lentils are permissible in halal dietary guidelines and can be included in the client's meal.
C. Fish is generally permissible in halal dietary guidelines, so baked fish with rice is an acceptable option.
D. Beef is permissible in halal dietary guidelines, but the gravy should be checked to ensure it does not contain any non-halal ingredients.
Correct Answer is D
Explanation
A. Hypothyroidism is a condition characterized by an underactive thyroid gland and can contribute to weight gain, but it is not a direct complication of childhood obesity.
B. Juvenile rheumatoid arthritis is a chronic inflammatory disorder that affects the joints and is not directly related to obesity.
C. Type 1 diabetes mellitus is an autoimmune condition in which the pancreas produces little or no insulin, leading to high blood sugar levels. While obesity is a risk factor for type 2 diabetes, it is not a direct complication of childhood obesity.
D. Hypertension, or high blood pressure, is a known complication of obesity in both children and adults. Excess body weight can increase the workload on the heart and blood vessels, leading to elevated blood pressure.
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