A nurse is caring for a client who is receiving IV fluid therapy. For which of the following findings should the nurse monitor as an adverse effect of the IV fluid therapy?
Bradycardia
Distended neck veins
weight loss
Bradypnea
The Correct Answer is B
Rationale:
A. Bradycardia: Bradycardia is not a typical adverse effect of IV fluid therapy. If anything, fluid overload might contribute to hypertension or reflex tachycardia rather than a slowing of the heart rate.
B. Distended neck veins: Distended neck veins are a common sign of fluid volume overload, a potential adverse effect of IV therapy. This occurs when excess fluid increases venous pressure and can indicate worsening heart function or pulmonary congestion.
C. Weight loss: IV fluid therapy is expected to increase or stabilize weight due to fluid retention, not cause weight loss. Weight loss might instead indicate dehydration or catabolic states, not an adverse reaction to fluid infusion.
D. Bradypnea: Bradypnea is not typically caused by IV fluid therapy. In fluid overload, the more common respiratory symptom is tachypnea or dyspnea due to pulmonary congestion, not a slowed respiratory rate.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Chlordiazepoxide: Chlordiazepoxide is a benzodiazepine used primarily to manage alcohol withdrawal symptoms. It has no direct role in smoking cessation and is not commonly prescribed for nicotine dependence.
B. Bupropion: Bupropion is an atypical antidepressant approved for smoking cessation. It reduces nicotine cravings and withdrawal symptoms by acting on the brain’s norepinephrine and dopamine pathways, making it an effective choice for clients trying to quit.
C. Naltrexone: Naltrexone is an opioid antagonist used to treat opioid and alcohol dependence. It does not target nicotine addiction and is not indicated for smoking cessation therapy.
D. Clonidine: Clonidine is occasionally used off-label to manage withdrawal symptoms, including those from nicotine. However, it is not a first-line medication for smoking cessation and is less commonly prescribed for this purpose.
Correct Answer is A
Explanation
Rationale:
A. Oxytocin: Oxytocin is the first-line uterotonic used to manage postpartum hemorrhage by stimulating uterine contractions to reduce bleeding. It is safe for use in clients with preeclampsia and does not elevate blood pressure.
B. Methylergonovine: Methylergonovine is contraindicated in clients with preeclampsia or hypertension because it causes vasoconstriction, which can dangerously elevate blood pressure and increase the risk of stroke or seizure.
C. Carboprost: Although carboprost is effective for postpartum hemorrhage, it should be used cautiously in clients with hypertension. It can cause bronchospasm and elevate blood pressure, which may worsen preeclampsia symptoms.
D. Nifedipine: Nifedipine is a calcium channel blocker used for managing hypertension and preterm labor. It is not indicated for treating postpartum hemorrhage as it lacks uterotonic effects.
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