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A nurse is caring for a client who has been admitted to the medical surgical unit.

Exhibits
A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse understand is indicative of pulmonary edema? (Select all that apply.)

Edema of the extremities

Jugular vein distention

Tachypnea

Ascites

Pink frothy sputum

Atelectasis

Answer and Explanation

Correct Answer : A,B,C,E

A. Edema of the extremities
Fluid accumulation due to poor cardiac output contributes to peripheral edema.

B. Jugular vein distention
Reflects elevated central venous pressure from fluid overload.

C. Tachypnea
Increased respiratory rate is a compensatory mechanism for impaired oxygen exchange.

D. Ascites
Associated with liver disease or right-sided heart failure, not specifically pulmonary edema.

E. Pink frothy sputum
Classic sign of pulmonary edema due to fluid in the alveoli.

F. Atelectasis
Can occur in respiratory illness but is not a hallmark sign of pulmonary edema.

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Correct Answer is C

Explanation

A. BP 178/90 mm Hg
Indicates hypertension, not dehydration.

B. Low body temperature
Not associated with dehydration; fever is more common.

C. Skin tenting present
Skin tenting is a classic sign of dehydration due to reduced skin turgor.

D. Jugular vein distention
Sign of fluid overload or heart failure, not dehydration.

Correct Answer is ["5"]

Explanation

Calculation:
5 mg ÷ 1 mg/mL = 5 mL

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A nurse is caring for a client who has been admitted to the medical surgical unit. Exhibits A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse understand is indicative of pulmonary edema? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is performing an admission assessment on a client. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

Correct Answer is C

Explanation

A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["5"]

Explanation

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A nurse is caring for a client who has been admitted to the medical surgical unit.

Exhibits
A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse understand is indicative of pulmonary edema? (Select all that apply.)