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A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?

Weight gain

Oliguria

Nausea

Headaches

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Weight gain is not typically associated with fluid volume deficit; it's more indicative of fluid retention.

Choice B rationale:

Oliguria refers to decreased urine output and can be a sign of fluid volume deficit.

Choice C rationale:

Nausea can be caused by various factors, including gastrointestinal issues, but it's not a specific indicator of fluid volume deficit.

Choice D rationale:

Headaches can have multiple causes and are not a direct sign of fluid volume deficit.

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Correct Answer is C

Explanation

Choice A rationale:

A hematocrit (Hct) value of 44% is within the expected range and does not require immediate reporting.

Choice B rationale:

A white blood cell (WBC) count of 5,000/mm3 falls within the normal range and does not require immediate reporting.

Choice C rationale:

Elevated total bilirubin levels can indicate potential liver dysfunction, which can be a concern when a client is taking medications like amitriptyline. The nurse should report this value for further evaluation.

Choice D rationale:

A potassium level of 4.2 mEq/L is within the normal range and does not require immediate reporting.

A. Red man syndrome B. Hypotension C. Hypoglycemia D. Bradycardia

Correct Answer is B

Explanation

Choice A rationale:

Red man syndrome is typically associated with the rapid infusion of vancomycin, not phenytoin.

Choice B rationale:

Hypotension can be an adverse effect of phenytoin administration, especially if the medication is administered rapidly.

Choice C rationale:

Hypoglycemia is not commonly associated with phenytoin use.

Choice D rationale:

Bradycardia is not commonly associated with phenytoin use.

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A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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