A nurse is assessing a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?
Weight gain
Distended neck veins
Shortness of breath
Elevated hematocrit level
The Correct Answer is D
Fluid deficit causes the loss of the plasma component of blood. The levels of blood cells remain constant despite the loss of plasma resulting in hemoconcentration. Hemoconcentration is observed as an elevated hematocrit level on a full blood count test.
A,B,C- features of fluid overload
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The provider should be consulted as other oral alternative exist. It is important for the nurse to understand his or her role as a client’s advocate. In this, role, she should acknowledge the client’s concerns and address the issues without coercing or threatening the client.
A- This does not respect client’s autonomy
B- This statement is inappropriate as the nurse should not use threats to induce fear
C- This statement fails to appreciate the client’s concerns
Correct Answer is A
Explanation
Ginkgo biloba is a form of alternative medicine that is used due to its antioxidants and cardiovascular benefits. In addition to these, it has antiplatelet effects which increases the risk of bleeding when used concurrently with anticoagulants such as in clients receiving warfarin
Coenzyme QIO, Valerian and probiotics have no notable interactions with warfarin
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