A nurse is collecting data from a patient following a thoracentesis.
Which of the following findings should prompt the nurse to notify the provider?
500 mL of fluid removed during thoracentesis.
Chest x-ray clear.
PCO2.
Hematocrit.
The Correct Answer is A
Choice A rationale
If 500 mL of fluid is removed during thoracentesis, the nurse should notify the provider. Removing large volumes of fluid can cause re-expansion pulmonary edema.
Choice B rationale
A clear chest x-ray is an expected finding after thoracentesis.
Choice C rationale
PCO2 is a measure of carbon dioxide levels in the blood. It is not directly related to thoracentesis.
Choice D rationale
Hematocrit is a measure of the proportion of red blood cells in the blood. It is not directly related to thoracentesis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Administering a laxative would not be beneficial for a patient with hypernatremia. Laxatives can cause diarrhea, which can lead to further fluid loss and exacerbate the hypernatremia.
Choice B rationale
Administering a potassium supplement would not address the issue of hypernatremia. Hypernatremia is an excess of sodium in the blood, not a deficiency of potassium.
Choice C rationale
Restricting sodium intake is a key intervention for managing hypernatremia. This can help reduce the amount of sodium in the body and bring the sodium levels back to normal.
Choice D rationale
Restricting fluid intake would not be recommended for a patient with hypernatremia. In fact, increasing fluid intake is often part of the treatment plan for hypernatremia to help dilute the excess sodium in the blood.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"B"}
Explanation
The client is at highest risk for developing hypovolemic shock as evidenced by the client’s capillary refill time and urine output.
These indicators suggest poor perfusion and decreased blood volume, which are key signs of hypovolemic shock.
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