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 C
Explanation
Choice A reason: Phobia is an anxiety disorder characterized by an excessive and irrational fear of specific objects, situations, or activities, which does not align with Ms. T's symptoms.
Choice B reason: PTSD is a disorder that can occur after a person has been through a traumatic event, which is not indicated in Ms. T's case.
Choice C reason: SSD is characterized by an extreme focus on physical symptoms, such as pain, that causes major emotional distress and problems functioning, which matches Ms. T's experience.
Choice D reason: GAD involves persistent and excessive worry about various things, not just physical symptoms, so it is less likely than SSD in this scenario.
Correct Answer is C
Explanation
Choice A reason: The use of a heating pad on the operative site is not typically recommended immediately post-surgery due to the risk of bleeding and swelling.
Choice B reason: Patients are encouraged to mobilize as soon as possible after surgery to prevent complications such as deep vein thrombosis and pulmonary embolism.
Choice C reason: The use of a CPM machine is common after total hip replacement surgery to help restore joint function and prevent stiffness.
Choice D reason: Using a special soap the evening before surgery is part of the preoperative preparation to reduce the risk of infection.
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