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

1. 1. 1. The foot is not a typical site for obtaining a blood specimen by venipuncture.
    2. This arm is not ideal for venipuncture because the client is receiving IV fluids through an IV catheter in the basilic vein of the right forearm.
    3. The left forearm is a suitable site for venipuncture because the client is receiving IV fluids through an IV catheter in the basilic vein of the right forearm.
    4. The right forearm is not ideal for venipuncture because the client is receiving IV fluids through an IV catheter in the basilic vein of the right forearm.

A. Weakened gag reflex B. Hyperthermia C. Absence of bowel sounds D. Polyuria E. Hypotension

Correct Answer is ["A","B","C","E"]

Explanation

A. A weakened gag reflex is a common complication of cervical spinal cord injuries and can lead to difficulty swallowing and increased risk of aspiration.
B. Hyperthermia can occur due to autonomic dysreflexia, a common complication of cervical spinal cord injuries.
C. Absence of bowel sounds can indicate a paralytic ileus, a common complication of cervical spinal cord injuries.
D. Polyuria is not a common complication of cervical spinal cord injuries. It may occur due to other factors, such as diabetes insipidus, but it is not directly related to the injury itself.
E. Hypotension can occur due to autonomic dysreflexia, a common complication of cervical spinal cord injuries.

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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 nurse is preparing to obtain a blood specimen from a client by venipuncture. The client is receiving IV fluids through an IV catheter inserted in the basilic vein of the right forearm. Which of the following sites should the nurse plan to use to obtain the blood specimen?

Correct Answer is C

Explanation

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Correct Answer is ["A","B","C","E"]

Explanation

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