A patient with congestive heart failure is at risk of excess ﬂuid volume. Which intervention will best determine if the patient is beginning to have excess ﬂuid volume?

Daily intake and output recordings

Daily weights

Daily blood pressure and heart rate checks

Daily CMP lab draw

Answer and Explanation

The Correct Answer is B

Daily weights provide a reliable and accurate measure of ﬂuid balance in the body. An increase in weight can indicate ﬂuid retention and the need for further intervention. While daily intake and output recordings, blood pressure and heart rate checks, and CMP lab draws can also provide useful information, daily weights are the most eﬀective way to monitor for excess ﬂuid volume in this situation.

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Correct Answer is D

Explanation

Sitting the patient up and encouraging deep breathing can help improve oxygenation and increase the pulse oximetry reading. This is a non-invasive intervention that can be implemented immediately to help improve the patient’s oxygen levels.

A. The colon is responsible for absorbing water and nutrients. I am now at high risk for ﬂuid and electrolyte imbalances. B. My colon is only responsible for sodium intake. I can eat more salt to ensure I am not deficient. C. The part of my colon that I have left will work overtime to prevent any deficiencies in my electrolytes. D. I am going to start drinking more Gatorade to prevent any imbalances from occurring.

Correct Answer is A

Explanation

The colon is responsible for absorbing water and nutrients.

I am now at high risk for ﬂuid and electrolyte imbalances. This statement demonstrates that the patient understands the function of the gastrointestinal tract in relation to ﬂuid and electrolyte balance. The colon plays an important role in absorbing water and electrolytes from digested food, and after a large portion of the colon has been removed, the patient may be at higher risk for ﬂuid and electrolyte imbalances.

Received message. The correct option is a. The colon is responsible for absorbing water and nutrients. I am now at high risk for ﬂuid and electrolyte imbalances. This statement demonstrates that the patient understands the function of the gastrointestinal tract in relation to ﬂuid and electrolyte balance. The colon plays an important role in absorbing water and electrolytes from digested food, and after a large portion of the colon has been removed, the patient may be at higher risk for ﬂuid and electrolyte imbalances.

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A patient with congestive heart failure is at risk of excess ﬂuid volume. Which intervention will best determine if the patient is beginning to have excess ﬂuid volume?

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Naxlex Comprehensive Predictor Exams

RH has a history of COPD. The CNA checks his vital signs at the beginning of the shift and tells you that his pulse ox reading is 91%. What should the nurse advise the CAN does next:

Correct Answer is D

Explanation

JD has been admited after a large portion of his colon has been removed due to cancer Which statement by the patient demonstrates that he understands the function of the Gastrointestinal tract as related to ﬂuid and electrolyte balance.

Correct Answer is A

Explanation

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