The nursing diagnosis of Excess Fluid Volume is made for a patient with chronic kidney disease. Which of the following data is most important for the nurse to collect for this patient based on the nursing diagnosis?

daily weight

vital signs

intake and output

skin turgor

Answer and Explanation

The Correct Answer is C

A.   Daily weight monitoring is important for assessing fluid status but may not provide real-time information about fluid balance changes.
B.   Vital signs are important for overall assessment but may not specifically address the nursing diagnosis of Excess Fluid Volume unless there are significant changes indicative of fluid overload or dehydration.
C.   Monitoring intake and output provides direct information about fluid balance and renal function, helping to identify trends and assess the effectiveness of interventions aimed at managing fluid volume.
D.   Skin turgor assessment is useful for evaluating hydration status but may not provide comprehensive data on fluid volume excess alone.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Dressings are typically not removed on the day of surgery to allow for observation of any bleeding or drainage. Dressing removal is usually performed by the surgical team or as directed by the healthcare provider.
B. Encourage ambulation on the day of surgery: Ambulation is important for preventing complications such as deep vein thrombosis and atelectasis, and to promote healing.
C. Postoperative positioning depends on the type of surgery performed and any specific patient needs, but placing the client in a supine position may not address comfort or respiratory considerations.
D. Offering ice cream, which is high in fat, may not be tolerated well immediately after this type of surgery.

A. "I may experience increased pain with these treatments." B. "I'll be getting high doses of chemotherapy." C. The purpose of these treatments is to induce remission." D. "I may get sick at this stage of treatment." E. "I’ll have treatments only once a month."

Correct Answer is ["B","C","D"]

Explanation

A. Pain is not typically a primary side effect of chemotherapy for acute lymphocytic leukemia.
B. Chemotherapy for acute lymphocytic leukemia often involves high doses to target rapidly dividing cancer cells and induce remission.
C. Chemotherapy for acute lymphocytic leukemia aims to induce remission by destroying cancerous cells in the bone marrow and peripheral blood.
D. Chemotherapy can suppress the immune system, increasing the risk of infections and illness during treatment.

E. Chemotherapy for acute lymphocytic leukemia often involves multiple cycles of treatment, which may include different drugs and frequencies.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nursing diagnosis of Excess Fluid Volume is made for a patient with chronic kidney disease. Which of the following data is most important for the nurse to collect for this patient based on the nursing diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A client is about to start chemotherapy for acute lymphocytic leukemia. Which of the following statements shows understanding of this phase of treatment? (Select All that Apply.)

Correct Answer is ["B","C","D"]

Explanation

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Which of the following describe the function of the kidneys? Select all that apply.

The nurse responds to a call for assistance with a patient in pulseless ventricular tachycardia. The nurse prepares for what first-line treatment for this rhythm?

After reviewing an electrocardiogram, the nurse determines that an electrical impulse originated in a patient's sinoatrial (SA) node with a P wave. What does this represent?

The nurse is caring for a client with Hodgkin lymphoma. Which clinical manifestations can the nurse expect to find? (Select All that Apply.)

The nurse is caring for a patient with kidney stones. Which intervention should the nurse implement?

The nurse is teaching a patient about digoxin. The nurse would evaluate the patient as understanding the teaching if the patient made which of these statements? Select all that apply.

What is seen on an ECG tracing when there is no electrical activity being produced?