A nurse is collecting data from a female patient who is postmenopausal.
What findings should the nurse identify as a risk factor for the development of osteoporosis?

Choice A rationale

Fever is not typically a sign of fluid overload. It’s more commonly associated with a transfusion reaction, which could indicate an immune response to the transfused blood.

Choice B rationale

Dyspnea, or difficulty breathing, can be a sign of fluid overload. When the body has too much fluid, it can put pressure on the lungs, making it harder to breathe.

Choice C rationale

Pruritus, or itching, is not typically a sign of fluid overload. It may be a sign of an allergic reaction to the transfusion.

Choice D rationale

Bradycardia, or a slow heart rate, is not typically a sign of fluid overload. In fact, tachycardia, or a fast heart rate, is more common as the heart works harder to pump the excess fluid.

Choice A rationale

Sudden jaw pain can be a symptom of a heart attack. It’s important to seek immediate medical attention if this occurs.

Choice B rationale

While some people may experience hot, dry, and flushed skin during a heart attack, it’s not a common symptom and should not be relied upon as an indicator.

Choice C rationale

Waiting 30 minutes before taking action if experiencing heartburn is not advisable, especially if the individual has a history of heart disease. Heartburn can sometimes be a symptom of a heart attack.

Choice D rationale

Nitroglycerin is typically taken at the first sign of chest pain. If the pain does not improve or worsens after one dose, it’s important to seek immediate medical attention.