A nurse is assessing a client who has circulatory overload. Which of the following findings should the nurse expect?

Diaphoresis

Weight loss

Hypotension

Tachycardia

Answer and Explanation

The Correct Answer is D

A) Diaphoresis:
While diaphoresis (excessive sweating) may occur with some cardiac or respiratory conditions, it is not a primary or expected sign of circulatory overload. Circulatory overload generally involves fluid accumulation in the body, and symptoms are more likely related to fluid retention and increased workload on the heart rather than sweating.

B) Weight loss:
Weight loss is not typically associated with circulatory overload. In fact, one of the hallmark signs of circulatory overload is weight gain due to fluid retention. The body retains excess fluid in the vascular system, leading to an increase in weight rather than weight loss.

C) Hypotension:
Hypotension (low blood pressure) is generally not associated with circulatory overload. Circulatory overload typically results in elevated blood pressure due to the increased volume of circulating fluid. In some cases, if the heart is unable to handle the increased volume, symptoms like pulmonary edema or shortness of breath can occur, but hypotension is more commonly seen in conditions like shock or severe fluid loss.

D) Tachycardia:
Tachycardia (an elevated heart rate) is a common finding in circulatory overload. When there is an excess of fluid in the body, the heart has to work harder to pump the additional volume of blood, leading to an increased heart rate. This is a compensatory response to the increased workload on the heart. It is also a sign that the body is attempting to maintain adequate tissue perfusion despite the excess fluid volume.

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Correct Answer is D

Explanation

A) Use the provider’s initials after the prescription:
Using the provider's initials after the prescription is not an appropriate or standard practice. The nurse should transcribe the prescription accurately and include the provider's full name or identification, but not initials. The nurse is responsible for ensuring the correct interpretation and transmission of the order, and abbreviations or initials could lead to errors or confusion.

B) Repeat the prescription to the provider:
Repeating the prescription to the provider may not be sufficient. It is important to read the prescription back to the provider to ensure that both the nurse and the provider are in agreement about the medication order. Repeating the prescription is a good practice, but it does not provide the same level of verification as reading it back to ensure its accuracy.

C) Write the prescription in shorthand:
Writing prescriptions in shorthand is unsafe and should be avoided. Shorthand can lead to misunderstandings or misinterpretations of the order, which could result in medication errors. The nurse should transcribe the prescription clearly and in full, without using any abbreviations or shorthand, to ensure clarity and accuracy.

D) Read back the prescription to the provider:
Reading back the prescription to the provider is the correct action. This practice, often referred to as "read-back," helps to confirm that the nurse has accurately heard and understood the provider’s order. It is a safety measure that reduces the likelihood of medication errors, especially in high-risk situations like verbal or telephone orders. The nurse should repeat the prescription verbatim, including dosage, route, frequency, and any other relevant details, to ensure it has been transcribed correctly.

Correct Answer is ["3"]

Explanation

Given:

Ordered dose of Furosemide: 30 mg

Concentration of Furosemide: 10 mg/mL

Step 1: Set up the proportion:

Desired dose (mg) / Volume to administer (mL) = Concentration (mg/mL)

Step 2: Substitute the values:

30 mg / Volume = 10 mg/mL

Step 3: Solve for the unknown volume:

Volume = 30 mg / (10 mg/mL)

Volume = 30 mg x (1 mL / 10 mg)

Volume = 3 mL

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A nurse is assessing a client who has circulatory overload. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is receiving a telephone prescription for a client from a provider. Which of the following actions should the nurse take when transcribing the prescription?

Correct Answer is D

Explanation

A nurse is preparing to administer furosemide 30 mg IV bolus stat. Available is furosemide injection 10 mg/mL. How many mL should the nurseadminister? (Round the answer to the nearest whole number. Use leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["3"]

Explanation

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