At the end of shift, you are calculating intake and output on your pat lent who was admited for a non- emergent gall bladder removal. She is alert and oriented and able to recall the amount of ﬂuid she has drank all day. You can calculate the amount of IV ﬂuids administered. Her intake is 2500ml and her output is 1200ml from a catheter bag. You realize she is not excreting enough urine me for water she is taking in. What is the most appropriate next step to determine if she is retaining water?

Put a hat in the toilet to collect proper output.

Assess your patient’s lower extremities and lungs for ﬂuid retention.

Educate her on the importance of writing down all ﬂuids she is drinking.

Document the numbers anyway, there is a probable error with the intake number.

Answer and Explanation

The Correct Answer is B

. Assess your patient’s lower extremities and lungs for ﬂuid retention.

If a patient’s intake is 2500ml and her output is 1200ml from a catheter bag, and you are concerned that she may not be excreting enough urine for the amount of water she is taking in, the most appropriate next step would be to assess her lower extremities and lungs for ﬂuid retention. This can help determine if the patient is retaining water and if further intervention is necessary.

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Correct Answer is A

Explanation

Before pumping the medication into the chamber, you should educate the patient to exhale. This means that the patient should breathe out fully before using the inhaler. This helps to empty the lungs of air and create more space for the medication to be inhaled.

A. give the ﬂuids quickly. B. monitor the amount of ﬂuid the client is receiving. C. if the ﬂuids are too low. increase them to infuse quicker. D. check the intravenous rate every two days.

Correct Answer is B

Explanation

: A client with renal disease may have impaired kidney function, which can aﬀect ﬂuid balance in the body. Giving ﬂuids too quickly or increasing the infusion rate too quickly can lead to ﬂuid overload,

which can exacerbate the client's condition. It is important for the nurse to monitor the amount of ﬂuid the client is receiving to ensure that the infusion rate is appropriate for the client's condition and to prevent ﬂuid overload. Checking the intravenous rate every two days is not sufficient; the nurse should monitor the rate regularly and adjust it as necessary based on the client's response.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A client with renal disease requires IV ﬂuids. It is important for the nurse to:

Correct Answer is B

Explanation

A patient newly diagnosed with heart failure understands that heart failure means there is a lack of sufficient blood supply to the patient's tissue throughout the body tells you that the is responsible for pumping blood from the hear t to the lest of the body.

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