The nurse is caring for a group of patients. Which patient is at highest risk for hypovolemia?

A patient who lost 2 liters of blood during surgery

A patient who received 6 liters of IV fluid

A patient with UTI on po iv meds

A patient with congestive heart failure

Answer and Explanation

The Correct Answer is A

A. A patient who lost 2 liters of blood during surgery: This is the most acute and severe form of hypovolemia due to significant blood loss, requiring immediate fluid replacement and hemodynamic monitoring.

B. A patient who received 6 liters of IV fluid: This patient is at risk for hypervolemia, not hypovolemia, due to fluid overload.

C. A patient with UTI on PO meds: While dehydration may occur, it is typically mild and does not cause hypovolemia.

D. A patient with congestive heart failure: CHF usually leads to fluid retention, making hypovolemia unlikely unless there are other complicating factors.

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Correct Answer is C

Explanation

A. Hypercalcemia: Hypercalcemia may cause confusion but is less likely associated with dehydration.

B. Hypomagnesemia: This can cause neuromuscular symptoms but is less commonly linked to confusion in dehydration.

C. Hyponatremia: Low sodium levels disrupt brain cell function, leading to confusion and neurological symptoms, which are common in dehydrated older adults.

D. Hypernatremia: While dehydration may cause hypernatremia, it is less likely to present with confusion in this context compared to hyponatremia.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

Answer: I. Temperature
II. Antibiotic therapy

I. Temperature: The client has a fever (37.3°C), which can be a sign of infection or another serious condition. The first priority is to address the fever, as it may indicate a systemic infection, which needs immediate intervention. Fever is usually managed with antipyretics such as acetaminophen.

II. Antibiotic therapy: Since the client has a fever and possible infection, antibiotic therapy should be initiated early (as per the provider’s orders) to treat the suspected infection. Broad-spectrum antibiotics are often started while waiting for culture results.

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The nurse is caring for a group of patients. Which patient is at highest risk for hypovolemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult nursing home resident who has always been alert and oriented is now showing signs of dehydration and has become confused. Which electrolyte imbalance is most likely involved?

Correct Answer is C

Explanation

A nurse is assisting in the care of a client in the emergency department. Exhibits Complete the following sentence by using the list of options. The nurse should first address the client's dropdown followed by the client's dropdown .

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

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