The nurse documents that the client has a problem of fluid volume excess (FVE). Which intervention should the nurse include in the plan of care? Select all that apply.
Monitor blood glucose levels
Weigh the client daily
Prepare the client for hemodialysis
Restrict sodium in the client's diet
Change the IV fluid from 0.9% NS to D5W
Correct Answer : B,D
A. Monitoring blood glucose levels is not directly related to managing fluid volume excess.
B. Weighing the client daily is essential for monitoring fluid retention and the effectiveness of interventions.
C. Preparing for hemodialysis is only necessary for severe fluid overload unresponsive to other treatments.
D. Restricting sodium in the diet helps prevent further fluid retention and supports management of FVE.
E. Changing IV fluids to D5W is not appropriate, as it could exacerbate fluid volume excess by increasing fluid load.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A fasting blood glucose level of 126 mg/dL or higher on two separate occasions meets the diagnostic criteria for diabetes.
B. A casual blood glucose level of 200 mg/dL or higher, along with symptoms of hyperglycemia, is required for diagnosis.
C. An HbA1c of 6.5% or higher can indicate diabetes, but it should be confirmed on a second test.
D. A 2-hour blood glucose of 200 mg/dL or higher during an oral glucose tolerance test is used to diagnose diabetes; 170 mg/dL does not meet this threshold.
Correct Answer is C
Explanation
A. Hepatitis does not involve costovertebral pain and is unrelated to calcium supplementation.
B. Pancreatitis typically presents with abdominal pain, not costovertebral pain.
C. Renal stones (kidney stones) are a possible adverse effect of excess calcium intake and can cause costovertebral pain due to their location.
D. A hip fracture is associated with osteoporosis, but it does not present as costovertebral pain.
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