A nurse is collecting data from a client who has isotonic fluid-volume deficit. Which of the following findings should the nurse expect?
Weak pulse
Distended neck veins
Bradycardia
Pitting Edema
The Correct Answer is A
A. Weak pulse: Isotonic fluid-volume deficit results in decreased blood volume, leading to reduced cardiac output and a weak, thready pulse.
B. Distended neck veins: This is associated with fluid volume excess, not deficit.
C. Bradycardia: Fluid deficit typically leads to tachycardia as the body compensates for decreased circulating volume.
D. Pitting edema: This is a sign of fluid overload rather than deficit.
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Related Questions
Correct Answer is D
Explanation
A. Elevated blood pressure: Hypocalcemia is more likely to cause low blood pressure due to its effect on vascular tone and cardiac contractility, not elevated blood pressure.
B. Negative Chvostek sign: A negative Chvostek sign would be expected in clients with normal calcium levels. A positive Chvostek sign (twitching of the facial muscles when tapped) is a sign of hypocalcemia.
C. Constipation: Hypocalcemia does not typically cause constipation. In fact, hypercalcemia can lead to constipation.
D. Tetany: Tetany, which involves muscle cramps and spasms, is a common manifestation of hypocalcemia. It occurs due to increased neuromuscular excitability when calcium levels are low.
Correct Answer is B
Explanation
A. Increased bowel sounds: Hypokalemia typically causes decreased bowel activity, leading to constipation or paralytic ileus, rather than increased bowel sounds.
B. Reports of fatigue: Fatigue is a hallmark symptom of hypokalemia due to impaired cellular and muscle function.
C. Positive Trousseau's sign: This is associated with hypocalcemia, not hypokalemia.
D. Reports of numbness in the feet: This is more commonly linked with neuropathy or hypocalcemia, not hypokalemia.
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