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 A

Explanation

Rationale:

A. Weigh the client before and after the procedure: Weighing the client helps to assess the volume of fluid removed and its immediate impact on the client’s body weight. This also assists in evaluating the effectiveness of the procedure and monitoring for fluid imbalances or complications.

B. Administer a low-volume hypertonic enema the night before the procedure: Enemas are not indicated for paracentesis, which involves the peritoneal cavity, not the bowel. Preparing the bowel is not necessary for this procedure and does not influence its safety or effectiveness.

C. Place the client in a side-lying position for the procedure: Paracentesis is typically performed with the client in a semi- to high-Fowler’s position. This position causes ascitic fluid to collect in the lower abdomen, making it more accessible and reducing the risk of organ puncture.

D. Ensure the client has a full bladder just prior to the procedure: The bladder should be emptied before paracentesis to reduce the risk of accidental puncture. A full bladder increases the chance of bladder injury during the needle insertion into the peritoneal cavity.

A. "I will eat fish for dinner at least twice per week." B. “I will eat small, frequent meals." C. “I will notify my provider if my urine is dark." D. “I should expect my bowel movements to be pale in color." E. “I will limit my morning coffee to no more than two cups."

Correct Answer is ["A","B","C"]

Explanation

Rationale:

A. “I will eat fish for dinner at least twice per week.” Fish is a good source of lean protein and omega-3 fatty acids, which are heart-healthy and easier on the pancreas compared to fatty meats. This aligns with dietary recommendations for pancreatitis recovery.

B. “I will eat small, frequent meals.” Eating small, frequent meals reduces pancreatic stimulation and helps manage pain and nausea. It also supports better nutrient absorption and glucose control in clients with pancreatitis and hyperglycemia.

C. “I will notify my provider if my urine is dark.” Dark urine may indicate worsening liver dysfunction or bile obstruction, especially with elevated bilirubin levels. Prompt reporting can lead to early intervention.

D. “I should expect my bowel movements to be pale in color.” Pale stools may signal bile duct obstruction or malabsorption and are not a normal or expected finding. This should be reported rather than expected.

E. “I will limit my morning coffee to no more than two cups.” Caffeine can exacerbate gastrointestinal symptoms and may increase pancreatic irritation; it is usually recommended to limit or avoid coffee during pancreatitis recovery.

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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is ["A","B","C"]

Explanation

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