A nurse is assessing a client who is receiving continuous IV fluids through a peripheral IV. Which of the following findings indicates to the nurse that the client is experiencing fluid overload?
Bradycardia
Flattened neck veins
Fever
Crackles in the lungs
The Correct Answer is D
This is because crackles are a sign of fluid overload in the lungs, which can occur when a client receives too much IV fluid. Fluid overload can cause pulmonary edema, which is a life threatening condition that reduces oxygen exchange in the lungs. Some other signs and symptoms of fluid overload include rapid weight gain, swelling in the arms, legs and face, high blood pressure and shortness of breath.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should acknowledge the partner's feelings and provide emotional support without judging or imposing personal values. The nurse should not suggest changing the DNR order.
Correct Answer is D
Explanation
An ankle-foot orthotic (AFO) is a device that supports the ankle and foot in a neutral position and prevents plantar flexion contracture, which is a common complication of stroke. An abduction splint is used to prevent hip adduction contracture, which is not related to plantar flexion. A sequential compression device (SCD) is used to prevent deep vein thrombosis (DVT), which is not related to contracture prevention. A continuous passive motion machine (CPM) is used to promote joint mobility and healing after surgery, which is not indicated for this client.
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