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 C

Explanation

A. Secondary prevention focuses on early detection and intervention to prevent further harm or complications. Tube feeding for a special needs student is not aimed at preventing the initial onset of a condition or injury.
B. Quaternary prevention focuses on avoiding unnecessary medical interventions and reducing the risk of over-medicalization. Tube feeding for a special needs student is a necessary medical intervention.
C. Tertiary prevention focuses on managing and treating existing conditions to prevent further complications or disability. Helping a special needs student with tube feeding is aimed at managing their existing condition (inability to eat orally) to prevent malnutrition or other complications.
D. Primary prevention focuses on preventing the initial onset of a condition or injury. Tube feeding for a special needs student is not aimed at preventing the initial onset of their inability to eat orally.

Correct Answer is ["0.5"]

Explanation

To calculate the number of tablets the nurse should dispense to the client, we need to convert the prescribed dose of digoxin from milligrams (mg) to micrograms (mcg), as the tablets are labeled in milligrams.

1 mg = 1000 mcg

125 mcg = (125 mcg) / (1000 mcg/mg) = 0.125 mg

Now, we can determine the number of tablets needed to achieve this dose:

0.125 mg ÷ 0.25 mg/tablet = 0.5 tablets

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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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Naxlex Comprehensive Predictor Exams

A school nurse is helping a special needs student with tube feeding during the lunch hour. Which of the following levels of prevention does this fall under?

Correct Answer is C

Explanation

A client in the hospital is prescribed digoxin (Lanoxin) 125 mcg. The computerized medication delivery system on the unit dispenses tablets labeled digoxin 0.25 mg. How many tablets should the nurse dispense to the client?

Correct Answer is ["0.5"]

Explanation

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