A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

Crackles upon auscultation

Bounding pulse

Pitting edema

Swelling at the IV site

Urine-specific gravity greater than 1.030

Answer and Explanation

Correct Answer : A,B,C

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Correct Answer is C

No explanation

A. Nausea and vomiting B. Flushed skin C. Extreme thirst D. Fever

Correct Answer is A

Explanation

A.Severe hyponatremia can cause nausea and vomiting due to the disturbance in electrolyte balance and the effects on the central nervous system. It is a common symptom associated with low sodium levels.

B.Flushed skin is not typically associated with hyponatremia. This is more commonly seen in conditions such as fever, inflammation, or allergic reactions.

C.Extreme thirst is more associated with hypernatremia (high sodium levels) rather than hyponatremia. In hyponatremia, the client might have a reduced sensation of thirst or might experience symptoms related to fluid overload.

D. Fever is not a direct symptom of hyponatremia. It can be associated with infections or inflammatory conditions, but it is not a typical manifestation of low sodium levels.

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A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

Explanation

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