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

Answer and Explanation

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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Correct Answer is B

Explanation

Rationale:

A. Probiotics: Probiotics are used to support gastrointestinal and immune health and do not significantly affect blood pressure or pose a known risk for intraoperative hypotension.

B. Black Cohosh: Black cohosh is often used to manage menopausal symptoms and is known to cause vasodilation, which can lower blood pressure. When combined with anesthetic agents, it can potentiate hypotensive effects during surgery.

C. Soy: Soy is consumed for its phytoestrogenic effects but does not have a direct or significant hypotensive action that increases surgical risk. Its impact on intraoperative blood pressure is minimal.

D. Flaxseed: Flaxseed may offer mild antihypertensive effects over time due to its omega-3 content, but it is not typically associated with clinically significant drops in blood pressure during surgery.

A. select a site on the client's dominant arm B. Elevate the client's arm prior to insertion C. Apply a tourniquet below the venipuncture site D. Choose a vein that is palpable and straight

Correct Answer is D

Explanation

Rationale:

A. Select a site on the client’s dominant arm: While either arm can be used, the nondominant arm is typically preferred to reduce interference with daily activities. Using the dominant arm may be more uncomfortable for the client post-insertion.

B. Elevate the client’s arm prior to insertion: Elevating the arm can reduce venous filling, making veins less visible and harder to access. Instead, the arm should be in a dependent position to encourage venous distension.

C. Apply a tourniquet below the venipuncture site: The tourniquet must be applied 10 to 15 cm (4 to 6 inches) above the intended insertion site to promote vein engorgement and visibility, not below it.

D. Choose a vein that is palpable and straight: A vein that is straight and palpable is ideal for IV insertion because it offers a predictable path and is less likely to be damaged during catheter advancement, reducing complications.

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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?

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