A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

Increased heart rate

Excessive thirst

Moist oral mucous membranes

Decreased blood pressure

Answer and Explanation

The Correct Answer is C

A.   An increased heart rate can be a sign of dehydration and would not indicate that IV fluid replacement has been effective.
B.   Excessive thirst is a symptom of dehydration and would not indicate that IV fluid replacement has been effective.
C.   Moist oral mucous membranes indicate improved hydration status and are a positive response to IV fluid replacement.
D.   Decreased blood pressure is a sign of dehydration and would not indicate that IV fluid replacement has been effective.

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Correct Answer is A

Explanation

A. Oxycodone, like other opioid medications, can cause constipation, so advising the client to take a stool softener can help prevent or alleviate this common side effect.
B. Urinary frequency is not a common side effect of oxycodone.

C. There is no known association between oxycodone and sunlight exposure, so advising the client to minimize sunlight exposure is unnecessary.
D. Oxycodone can be taken with or without food, so there is no requirement to take it on an empty stomach.

A. Hang the TPN solution to gravity to infuse. B. Titrate TPN solution to blood pressure. C. Monitor the client's weight daily. D. Obtain the client's blood glucose level weekly.

Correct Answer is C

Explanation

A. Hang the TPN solution to gravity to infuse: TPN solutions are typically administered using an infusion pump to control the rate of infusion accurately. Hanging the solution to gravity is not recommended because it may lead to inconsistent flow rates and inaccurate delivery of nutrients.
B. Titrate TPN solution to blood pressure: TPN solutions are not titrated based on blood pressure.

The composition and rate of TPN infusion are typically determined by the client's nutritional needs and metabolic status, not blood pressure.

C. Monitor the client's weight daily: Monitoring the client's weight daily is essential when administering TPN to assess for fluid balance, nutritional status, and response to therapy. Changes in weight can indicate fluid retention, dehydration, or changes in nutritional status, which may require adjustments to the TPN regimen.
D. Obtain the client's blood glucose level weekly: Blood glucose levels should be monitored frequently in clients receiving TPN, as hyperglycemia is a common complication. Weekly monitoring may not be sufficient to detect and manage hyperglycemia promptly. Therefore,
blood glucose levels are typically monitored more frequently, such as multiple times daily or according to institutional protocols.

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A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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