A patient is receiving IV fluids at 100 mL per hour. Which assessment findings would indicate fluid volume excess? (Select all that apply.)
Bounding pulse.
Elevated temperature.
Warmth at IV site.
Profuse sweating.
Crackles in lungs.
Correct Answer : A,E
Choice A reason: A bounding pulse can indicate fluid volume excess, as the heart works harder to pump the increased volume.
Choice B reason: Elevated temperature is not specifically indicative of fluid volume excess and can be related to various conditions.
Choice C reason: Warmth at the IV site may indicate an infection or inflammation, not necessarily fluid volume excess.
Choice D reason: Profuse sweating is not typically a sign of fluid volume excess; instead, it may indicate dehydration or other conditions.
Choice E reason: Crackles in the lungs can indicate fluid overload, especially in the context of excessive IV fluid administration.
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Correct Answer is B
Explanation
Choice A reason: Patients should not hold their insulin unless instructed by a physician, as it can lead to uncontrolled blood sugar levels.
Choice B reason: Taking vitamins with zinc and vitamin C can help with wound healing and immune function after surgery.
Choice C reason: Smoking should be stopped before surgery as it can impair wound healing and increase the risk of complications.
Choice D reason: Patients are typically advised to fast before surgery to reduce the risk of aspiration during anesthesia.
Correct Answer is C
Explanation
Choice A reason: Direct communication with the surgeon can provide the patient with reassurance and specific information about the surgery, which may alleviate fears.
Choice B reason: Offering spiritual support may be helpful, but it does not directly address the patient's concern about the surgery itself.
Choice C reason: Providing statistics may be reassuring, but it may not fully address the patient's individual fears.
Choice D reason: Recommending analgesics only addresses pain management and not the patient's expressed fear regarding the surgery.
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