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 B
Explanation
Ensures the right client is receiving the medication to avoid medication errors. Two identifiers ensures that two clients with a thing in common can be told apart to avoid administering medications into the wrong individual.
A,C,D- Are important steps but not related to client safety which is priority
Correct Answer is B
Explanation
Pinching the area of skin between two fingers facilitates the injection of the insulin into the subcutaneous tissue rather than muscle. Inject into the subcutaneous tissue prevents hematoma formation and bleeding after the injection.
A,C,D- Increase risk of bleeding
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