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 D
Explanation
A. While methamphetamine use can lead to risky behaviors that may increase the risk of injury, it is not directly associated with brain trauma and injury.
B. Methamphetamine use is not directly associated with bone loss and osteoporosis.
C. Methamphetamine use is not directly associated with liver and pancreatic disease.
D. Methamphetamine use can lead to blood vessel constriction and spasming, which can increase the risk of heart disease and stroke.
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.
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