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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.While medication verification is important, this is not specific to administering an intermittent IV bolus. It is standard practice for high-alert medications, not routine antibiotics.
B. Flushing the IV site with sterile water prior to connecting the secondary infusion is not standard practice. Normal saline is typically used to maintain patency, but it is not necessary before connecting the secondary infusion.
C.To administer a secondary infusion (e.g., antibiotic), the secondary bag must be hung higher than the primary infusion. This allows gravity to prioritize the secondary infusion through the Y-site.
D. Disconnecting the primary IV infusion to connect the secondary infusion is not correct. The secondary infusion should connect to the primary line without disrupting the ongoing infusion unless otherwise indicated.
Correct Answer is B
Explanation
A. Insomnia: Pioglitazone is not typically associated with insomnia as an adverse effect.
Insomnia is more commonly associated with stimulant medications or certain medical conditions.
B. Fluid retention: Pioglitazone, a thiazolidinedione, can cause fluid retention as an adverse effect. This can lead to peripheral edema and exacerbation of heart failure, particularly in
susceptible individuals. Monitoring for signs and symptoms of fluid retention, such as peripheral edema and weight gain, is essential.
C. Tinnitus: Tinnitus is not a commonly reported adverse effect of pioglitazone. Tinnitus is more commonly associated with medications such as certain antibiotics, NSAIDs, and ototoxic drugs.
D. Orthostatic hypotension: Orthostatic hypotension is not typically associated with pioglitazone.
It is more commonly associated with medications that affect blood pressure regulation, such as antihypertensives and alpha-blockers.
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