A nurse is caring for a client who has fluid volume deficit and is receiving intermittent IV fluid replacement therapy. Which of the following findings should the nurse identify as an indication the treatment has been effective?

Decrease in blood pressure

Increase in heart rate

Increase in urine output

Decrease in dependent edema

Answer and Explanation

The Correct Answer is C

A. Decrease in blood pressure is not a positive indicator in this case; an increase in blood pressure is desired with effective treatment.

B. An increase in heart rate typically indicates dehydration or fluid deficit, not improvement.

C. An increase in urine output is a positive sign of fluid balance restoration. It shows the kidneys are functioning effectively with sufficient hydration.

D. Dependent edema might not decrease immediately, and its presence may not indicate the fluid therapy's effectiveness.

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Correct Answer is B

Explanation

A. Temperature is important but not the priority following sedation.

B. Oxygen saturation is the priority assessment, as midazolam can depress respiratory function, leading to hypoxia or respiratory arrest.

C. Heart rate is important but secondary to oxygenation in this case.

D. Level of consciousness is monitored but is not the priority over respiratory status.

A. Obtain the client's HDL level. B. Collect the client's uric acid level. C. Check the client's glucose level. D. Monitor the client's thyroid function levels.

Correct Answer is C

Explanation

A. HDL level is not directly relevant to the error of administering metformin instead of metoprolol.

B. Uric acid level is not a priority following this medication error.

C. Checking the client's glucose level is the priority because metformin is used to treat type 2 diabetes, and its administration could lead to hypoglycemia if the client was not already on a diabetic regimen.

D. Monitoring thyroid function is not relevant to this error.

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A nurse is caring for a client who has fluid volume deficit and is receiving intermittent IV fluid replacement therapy. Which of the following findings should the nurse identify as an indication the treatment has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who received midazolam IV for moderate (conscious) sedation. Which of the following assessments is the nurse's priority?

Correct Answer is B

Explanation

A nurse accidently administers metformin instead of metoprolol to a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is teaching a client who is taking intranasal calcitonin to alternate nares daily when administering the medication. Which of the following adverse effects should the nurse expect to improve following the teaching?

A nurse is teaching a newly licensed nurse about expired medications. Which of the following instructions should the nurse include in the teaching?

A nurse is preparing to administer metoprolol to a client. Which of the following vital signs should the nurse assess before administration?

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