A nurse is assisting with the care of a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?

Hyperglycemia

Hypovolemia

Hypercalcemia

Hypokalemia

Answer and Explanation

The Correct Answer is A

Choice A reason: An IV infusion of dextrose 10% in water can cause hyperglycemia, which is an elevated blood sugar
level.

Choice B reason: Hypovolemia, or decreased blood volume, is not a typical adverse effect of dextrose infusion.

Choice C reason: Hypercalcemia, or high calcium levels in the blood, is not associated with dextrose infusion.

Choice D reason: While dextrose infusion can affect electrolyte balance, hypokalemia, or low potassium levels, is not
the primary concern with dextrose infusion.

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Correct Answer is B

Explanation

Choice A reason: Metabolic alkalosis is not commonly associated with COPD. It occurs when there is an accumulation
of bicarbonate or a loss of hydrogen ions.

Choice B reason: Respiratory acidosis is a common acid-base imbalance in clients with COPD. It occurs due to the retention of CO2 as a result of reduced respiratory function.

Choice C reason: Metabolic acidosis is characterized by a decrease in serum bicarbonate and is not typically a direct
result of COPD.

Choice D reason: Respiratory alkalosis occurs when there is a decrease in CO2 levels, which is the opposite of what is expected in COPD.

A. Tachycardia B. Weight loss C. Diaphoresis D. Hypotension

Correct Answer is A

Explanation

Choice A reason: Tachycardia, or an abnormally rapid heart rate, is a common finding in circulatory overload due to
the increased volume of blood the heart must pump.

Choice B reason: Weight loss is not typically associated with circulatory overload. In fact, weight gain may occur due
to fluid retention.

Choice C reason: Diaphoresis, or excessive sweating, can be associated with circulatory overload as the body attempts to cool down due to the increased blood volume and workload on the heart.

Choice D reason: Hypotension, or low blood pressure, is not a usual finding in circulatory overload. Instead, hypertension may be more likely due to the increased volume of fluid in the blood vessels.

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A nurse is assisting with the care of a client who is receiving an IV infusion of dextrose 10% in water. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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