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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Protamine is used to reverse the effects of heparin, not warfarin.
B. Vitamin K is the antidote for warfarin overdose, as it promotes the synthesis of clotting factors that are inhibited by warfarin.
C. Atropine is used to treat bradycardia and other conditions, but it is not used to reverse the effects of warfarin.
D. Epinephrine is used to treat severe allergic reactions (anaphylaxis) and cardiac arrest, but it is not used to reverse the effects of warfarin.

A. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form." B. "Information about a client can be disclosed to family members at any time." C. "A client's address would be an example of personally identifiable information." D. "HIPAA is a federal law, not a state law." E. Trachea midline

Correct Answer is B

Explanation

A. This statement is correct. HIPAA protects the privacy and security of individually identifiable health information.
B. HIPAA generally requires patient authorization for the disclosure of health information to family members.
C. Personally identifiable information includes any information that can be used to identify an individual, such as a client's name, address, or social security number.
D. HIPAA is a federal law that sets national standards for the protection of health information.

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A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)

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