A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
Increased respiratory rate
Increase hematocrit
Increased blood pressure
Increased temperature
Increased Heart Rate
Correct Answer : A,C,E
A. Fluid overload can lead to pulmonary edema and difficulty breathing, resulting in an increased respiratory rate.
B. Fluid overload typically leads to dilution of blood, which can result in a decreased hematocrit.
C. Fluid overload can lead to increased blood volume and increased pressure on the blood vessel walls, resulting in increased blood pressure.
D. Fluid overload is not typically associated with an increased body temperature.
E. Fluid overload can lead to increased blood volume and increased pressure on the heart, resulting in an increased heart rate.
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Related Questions
Correct Answer is B
Explanation
A. Medical insurance availability for substance use disorder treatment may affect an individual's ability to access treatment, but it does not directly increase the potential for addiction.
B. Exposure to substances during brain development can alter the structure and function of the brain, making it more susceptible to addiction later in life.
C. While cognitive deficits may contribute to addiction, they are not necessarily a factor that increases the potential for addiction.
D. The age at which an individual begins using substances may affect their risk of addiction, but it is not necessarily a factor that increases the potential for addiction.
Correct Answer is A
Explanation
A. Albumin is a protein that is produced by the liver and is a good indicator of nutritional status. TPN is intended to provide adequate nutrition to the patient, so an increase in albumin levels would indicate that the treatment is effective.
B. Calcium levels are not directly related to the effectiveness of TPN. Calcium levels can be affected by a variety of factors and are not a specific marker for the effectiveness of TPN.
C. Hematocrit (Hct) measures the percentage of red blood cells in the blood. It is not directly related to the effectiveness of TPN.
D. White blood cell count (WBC) is a marker of immune function and is not directly related to the effectiveness of TPN.
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