A nurse is caring for a heart failure client with a history of dietary non compliance. The nurse suspects the client has fluid volume overload. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY))
Increased blood pressure
increased heart rate
Increase hematocrit
Increased respiratory rate
Increased temperature
Correct Answer : A,B,D
Rationale:
A. Fluid overload can lead to increased blood pressure due to the excess fluid circulating in the body.
B. Increased heart rate is a compensatory mechanism in response to fluid volume overload.
C. Increased hematocrit is not typically associated with fluid volume overload.
D. Increased respiratory rate is a compensatory mechanism in response to fluid volume overload.
E. Increased temperature is not typically associated with fluid volume overload.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Notifying the provider of the client's allergy is the priority to ensure that appropriate precautions are taken during the cardiac catheterization.
B. Notifying the dietary department is not necessary in this situation.
C. Asking about other foods is important but not the priority at this time.
D. Attaching a wristband indicating the allergy may be done later but is not the priority at this time.
Correct Answer is ["C","D"]
Explanation
Rationale:
A. A BMI of 20 is not typically considered a risk factor for deep vein thrombosis.
B. High calcium intake is not typically considered a risk factor for deep vein thrombosis.
C. Oral contraceptive use is a risk factor for deep vein thrombosis due to the estrogen content.
D. Immobility is a risk factor for deep vein thrombosis due to decreased venous return.
E. Hypertension is not typically considered a risk factor for deep vein thrombosis.
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