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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Taking an HMG-CoA reductase inhibitor (statin) is not directly related to digoxin toxicity.
Choice B rationale:
Having a prolapsed mitral valve is not a known risk factor for digoxin toxicity.
Choice C rationale:
Having a history of COPD is not directly associated with digoxin toxicity.
Choice D rationale:
High-ceiling diuretics (loop diuretics) can lead to electrolyte imbalances, such as hypokalemia, which can increase the risk of digoxin toxicity. Potassium plays a role in the effects of digoxin on the heart, and low levels can potentiate toxicity.
Correct Answer is B
Explanation
Choice A rationale:
A BUN level of 16 mg/dL is within a normal range.
Choice B rationale:
A potassium level of 5.3 mEq/L is higher than the normal range (typically 3.5-5.0 mEq/L). Triamterene is a potassium-sparing diuretic, and if the client's potassium level is already elevated, it should be withheld to prevent hyperkalemia.
Choice C rationale:
A sodium level of 142 mEq/L is within a normal range.
Choice D rationale:
An albumin level of 4 g/dL is within a normal range.
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