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?

Pulse rate 118/min

Blood pressure 152/90 mm Hg

Temperature 37.2° C (99° F)

Central venous pressure 25 mm Hg

Answer and Explanation

The Correct Answer is A

A. Pulse rate of 118/min: In a client with fluid volume deficit, the pulse rate often increases as the body compensates for reduced blood volume.

B. Blood pressure of 152/90 mm Hg: This blood pressure reading does not specifically indicate fluid volume deficit as it can be influenced by various factors, including vascular tone and cardiac function.

C. Temperature of 37.2° C (99° F): This temperature reading is within the normal range and does not directly reflect fluid volume status.

D. Central venous pressure 25 mm Hg: This is elevated and typically suggests fluid volume excess rather than deficit.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Iron-deficiency anemia is characterized by a deficiency of iron, which is necessary for the production of hemoglobin in red blood cells. Ferritin is a protein that stores iron in the body, and a low ferritin level is an indicator of depleted iron stores.

Ferritin: The normal range for ferritin varies depending on the laboratory, but typically it is around 12 to 300 ng/mL for females and 12 to 500 ng/mL for males. A client with a ferritin level of 8 ng/mL has a significantly low level, suggesting iron-deficiency anemia due to depleted iron stores.

Hematocrit: The normal range for hematocrit is around 36% to 46% for females and 38% to 50% for males. A client with a hematocrit of 42% falls within the normal range and does not suggest iron-deficiency anemia.

Hemoglobin: The normal range for hemoglobin is approximately 12 to 16 g/dL for females and

13.5 to 17.5 g/dL for males. A client with a hemoglobin level of 15 g/dL is within the normal range and does not indicate iron-deficiency anemia.

RBC count: The normal range for red blood cell (RBC) count is roughly 4.2 to 5.4 million/mm3 for females and 4.7 to 6.1 million/mm3 for males. A client with an RBC count of 5.2 million/mm3 falls within the normal range and does not indicate iron-deficiency anemia.

A. "Make sure to drink water with your meals." B. "Your biggest meal of the day should be breakfast." C. "Meal replacement shakes can cause weight gain." D. "Set your weight loss goal to 2.5 pounds per week."

Correct Answer is A

Explanation

According to some sources, behavioral modifications for weight loss include:
● Keeping a food journal to track your intake and identify patterns
● Eating smaller portions and using smaller plates
● Filling half of your plate with fruits and vegetables
● Getting plenty of sleep and drinking fluids
● Eating slowly and consciously
● Eating breakfast every day
● Avoiding high-calorie add-ons such as cream, butter, mayonnaise and salad dressings
● Not eating while watching television, reading, working or doing other activities
● Planning healthy snacks and meals in advance and bringing them to work
● Replacing eating with another activity that you will not associate with food
Based on these suggestions, the statement that the nurse should include in the teaching is “Make sure to drink water with your meals.” This can help you feel full and hydrated, and reduce your calorie intake from other beverages.
The other statements are either false or not related to behavioral modifications. For example:
● Your biggest meal of the day should be breakfast. This is not a behavioral modification, but a dietary recommendation that may vary depending on your preferences and needs.
● Meal replacement shakes can cause weight gain. This is not a behavioral modification, but a claim that is not supported by evidence. Meal replacement shakes can be part of a weight loss plan if they are used appropriately and provide adequate nutrition.
● Set your weight loss goal to 2.5 pounds per week. This is not a behavioral modification, but a goal that may be unrealistic or unhealthy for some people. A more reasonable goal is to lose 1 to 2 pounds per week.

View Question and Answer

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

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory values of four clients. Which of the following values indicates to the nurse that a client has iron-deficiency anemia?

Correct Answer is C

Explanation

A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is teaching a group of clients who are at risk for heart disease about decreasing saturated fats in their diet. Which of the following fats should the nurse recommend the clients use when cooking?

A nurse is providing teaching to the parents of a toddler about nutritional needs and habits. Which of the following instructions should the nurse include in the teaching?

A nurse is providing teaching to a client who has heart failure about limiting sodium intake to 1,000 mg/day. The nurse should inform the client that which of the following dairy products has the highest sodium content?

A nurse is caring for a client who reports manifestations of gastroesophageal reflux disease (GERD). Which of the following client statements should the nurse identify as a contributing factor to GERD?

A nurse is teaching a group of clients about dietary needs to prevent osteoporosis. Which of the following dietary choices should the nurse recommend as having the highest calcium content?

A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?

A nurse is providing breakfast for a client who has celiac disease. Which of the following meal items should the nurse select?

A nurse is providing discharge teaching to a client who has a new diagnosis of Crohn's disease. Which of the following statements by the client indicates an understanding of the teaching?