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. While parental influence can play a role in substance use disorders, there is no information in the scenario to support this as a potential underlying reason for the client's opioid use.
B. Chronic pain, such as that caused by Crohn's disease and a gymnastics injury, can lead individuals to seek relief through opioid use. Additionally, opioids may be used to selfmedicate underlying anxiety.
C. There is no mention of hallucinations in the client's history, and using opioids to perform better at work is not a typical reason for opioid use disorder.
D. While opioids can induce drowsiness and promote sleep, this is not typically a primary reason for developing an opioid use disorder in individuals with chronic pain conditions.

A. Medical insurance availability for substance use disorder treatment. B. The developing brain is exposed to substances at an early age. C. The brain already has cognitive deficits that causes it to be vulnerable to addiction. D. Initial use of substances began in adulthood.

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.

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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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