A nurse is caring for a client who has fluid volume deficit and is receiving a continuous IV infusion. Which of the following findings indicates the treatment has been effective?

Oliguria

Elastic skin turgor

Tachycardia

Dry mucous membranes

Answer and Explanation

The Correct Answer is B

A) Oliguria, or decreased urine output, is a sign of fluid volume deficit rather than an indication that the treatment has been effective. In a client with fluid volume deficit, the kidneys conserve water to maintain fluid balance, leading to decreased urine output.

B) Elastic skin turgor is a reliable indicator of hydration status. When a client's fluid volume deficit is improving, their skin turgor returns to normal. Elastic skin turgor means that the skin quickly returns to its normal position after being pinched and released, indicating adequate hydration.

C) Tachycardia, or an increased heart rate, is a compensatory mechanism that the body uses to maintain cardiac output in response to fluid volume deficit. While tachycardia may initially be present in a client with fluid volume deficit, it is not an indication that treatment has been effective.

D) Dry mucous membranes are a manifestation of dehydration and fluid volume deficit. Moist mucous membranes indicate hydration status, and their dryness suggests dehydration. Dry mucous membranes are not indicative of effective treatment for fluid volume deficit.

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Correct Answer is C

Explanation

A) 1 cup mashed potatoes: While potatoes are a source of folate, the folate content in mashed potatoes is not as high as in some other foods. Additionally, the cooking process can lead to a loss of folate, particularly if the potatoes are boiled or cooked for an extended period.

B) 1 cup cooked carrots: Carrots are a nutritious vegetable but do not contain as much folate as some other foods. While they contribute to overall dietary folate intake, they are not considered one of the highest sources of folate.

C) 1 cup cooked lentils: Lentils are an excellent source of folate, providing a significant amount of this essential nutrient per serving. Including lentils in the diet can help boost folate intake, which is particularly important for individuals planning to become pregnant or during pregnancy to support fetal development.

D) 1 cup cooked green peppers: Green peppers contain some folate, but their folate content is not as high as that of lentils. While they contribute to overall folate intake, they are not considered one of the highest sources of folate compared to other foods like lentils.

A. 2+ deep tendon reflexes B. Urine output 25 mL/hr C. Fatigue D. Firm grip bilaterally

Correct Answer is D

Explanation

A) 2+ deep tendon reflexes: Deep tendon reflexes are graded on a scale from 0 to 4+, with 2+ indicating normal reflexes. While normal deep tendon reflexes are a positive finding, they do not specifically indicate the effectiveness of treatment for hypernatremia.

B) Urine output 25 mL/hr: Adequate urine output is important for renal function and fluid balance; however, a urine output of 25 mL/hr may be insufficient depending on the client's fluid status and the extent of hypernatremia. This finding alone does not confirm the effectiveness of treatment for hypernatremia.

C) Fatigue: Fatigue is a nonspecific symptom and may not directly reflect the effectiveness of treatment for hypernatremia. While addressing hypernatremia may improve overall well-being and energy levels, fatigue alone is not a definitive indicator of treatment effectiveness.

D) Firm grip bilaterally: This finding indicates normal muscle strength and neuromuscular function, which can be affected by hypernatremia. In hypernatremia, high sodium levels in the blood can lead to neurologic symptoms such as muscle weakness or altered mental status. A firm grip bilaterally suggests that the client's neuromuscular function has returned to baseline, indicating the effectiveness of treatment in correcting the electrolyte imbalance.

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A nurse is caring for a client who has fluid volume deficit and is receiving a continuous IV infusion. Which of the following findings indicates the treatment has been effective?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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