A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess?
Thready pulse
Decreased bowel sounds
Bilateral muscle weakness
Distended neck veins
The Correct Answer is D
A. Thready pulse:
A thready pulse is more indicative of fluid volume deficit or inadequate cardiac output, not fluid volume excess.
B. Decreased bowel sounds:
Decreased bowel sounds are not a specific sign of fluid volume excess. They may be associated with various gastrointestinal issues but are not directly related to fluid volume status.
C. Bilateral muscle weakness:
Bilateral muscle weakness is not a specific manifestation of fluid volume excess. It may be associated with electrolyte imbalances or other neuromuscular issues.
D. Distended neck veins:
This is the correct answer. Distended neck veins are a classic sign of fluid volume excess or overload. Increased venous pressure from excess fluid can lead to distension of the jugular veins in the neck. This finding is often seen in conditions such as heart failure or renal failure where there is an inability to adequately excrete or distribute fluids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Drowsiness:
This is the correct answer. Drowsiness or sedation is a common side effect of paroxetine, which is a selective serotonin reuptake inhibitor (SSRI). Clients should be informed about the potential for drowsiness, especially when initiating the medication or adjusting the dosage.
B. Tinnitus:
Tinnitus (ringing in the ears) is not a common side effect of paroxetine. It is important to monitor for auditory issues with medications, but paroxetine is not typically associated with tinnitus.
C. Peripheral edema:
Peripheral edema is not a common adverse effect of paroxetine. Swelling of the extremities is not typically associated with SSRIs like paroxetine.
D. Alopecia:
Alopecia (hair loss) is not commonly associated with paroxetine. Hair loss is not a typical side effect of SSRIs.
Correct Answer is B
Explanation
A. This medication should be taken on an empty stomach:
Furosemide can be taken with or without food. Taking it with food can help reduce stomach upset, so there is no requirement to take it on an empty stomach.
B. Increase the amount of potassium in your diet:
This is the correct answer. Furosemide is a loop diuretic that can lead to potassium loss through increased urine output. Supplementing potassium through diet or potassium supplements may be necessary to prevent hypokalemia.
C. Take the medication before going to bed:
Furosemide is often recommended to be taken earlier in the day to avoid disrupting sleep with increased urination during the night. Taking it before going to bed is not a typical recommendation.
D. Weigh yourself on the same day each week:
Regular monitoring of weight is important in clients taking diuretics, but it is typically recommended to weigh daily at the same time each day, not weekly.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.