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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. "Consumption of a high protein meal can reduce the effectiveness of the medication."
High-protein meals can interfere with levodopa absorption in the intestine, reducing its effectiveness. Clients should consume protein in moderate amounts and distribute intake throughout the day.
B. "You may notice your urine becomes lighter in color."
Levodopa can cause urine, sweat, and saliva to become darker (brown, red, or black), not lighter. This is a harmless side effect but should be discussed with the client.
C. "You may initially notice an increase in involuntary movements."
Levodopa can cause dyskinesia (involuntary movements), especially with prolonged use or at higher doses. These movements can include facial twitching, jerking, or head bobbing.
D. "The medication can cause nausea, so take with a meal."
Levodopa can cause nausea, particularly when first starting the medication. Taking it with food can help reduce gastrointestinal discomfort, but avoiding high-protein meals is important.
E. "This medication can make you light-headed if you stand up too quickly from a seated or lying position."
Levodopa can cause orthostatic hypotension, leading to dizziness or light-headedness when changing positions. Clients should be advised to rise slowly to prevent falls.
Correct Answer is D
Explanation
A. Hold the injector in place for 10 seconds: Holding the injector in place after administering epinephrine is not the first action the client should take. After administering epinephrine, the client should immediately seek emergency medical attention.
B. Massage the outer thigh for 10 seconds: Massaging the outer thigh is not the first action the client should take after administering epinephrine. Seeking emergency medical attention is the priority.
C. Seek immediate medical attention: After administering epinephrine for an anaphylactic reaction, the client should immediately seek emergency medical attention to receive further evaluation and treatment. Epinephrine provides temporary relief of symptoms but does not replace the need for medical evaluation and ongoing management.
D. Jab the device into the outer thigh. The client should use the epinephrine auto-injector as soon as possible after experiencing an anaphylactic reaction. The device delivers a dose of
epinephrine, which constricts blood vessels and relaxes the airways, to reverse the symptoms of anaphylaxis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
