Which of the following is the best indicator of fluid balance in the body?

Intake and output

Lung sounds

Presence of edema

Weight

Answer and Explanation

The Correct Answer is A

A.   Monitoring fluid intake and output provides direct measurement of fluid balance in the body.
B.   Lung sounds may indicate fluid accumulation in the lungs but are not a direct measure of overall fluid balance.
C.   Edema may indicate fluid retention but does not provide comprehensive information about fluid balance throughout the body.
D.   While weight can be an indicator of fluid balance, it is influenced by factors other than fluid status, such as muscle mass and fat.

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Correct Answer is ["A","C","E"]

Explanation

A. Dysuria, or painful urination, is a common symptom of a urinary tract infection (UTI) due to irritation of the urinary tract lining by bacteria.
B. While strong-smelling urine can occur with a UTI, it's not specific to UTIs and can have other causes. Ammonia-smelling urine can be indicative of a UTI, especially if accompanied by other symptoms such as dysuria or frequency.
C. Increased frequency of urination can be a symptom of a UTI as the body attempts to flush out the bacteria causing the infection.
D. Amber urine color can result from concentrated urine due to dehydration but is not specific to a UTI.

E. Urinary urgency, or a sudden and compelling need to urinate, can be a symptom of a UTI due to irritation of the bladder lining by bacteria

A. Platelet count 125,000/mm3 B. Hematocrit 35% C. Weight loss D. Bone pain

Correct Answer is A

Explanation

A. A platelet count of 125,000/mm³ is lower than normal, and poses an increased risk of bleeding requiring immediate attention.
B. A hematocrit of 35% falls within the normal range for many individuals and does not indicate an urgent issue.
C. Weight loss may be a concern but is not typically considered a priority over other symptoms such as bone pain.
D. Bone pain in a client with leukemia is a common symptom of leukemia but does not require immediate attention compared to a low platelet count.

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Which of the following is the best indicator of fluid balance in the body?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is collecting data on a patient who has presented to the HCP's office with a fever. Which of these findings are indicators of a UTI to the nurse? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

A nurse is collecting data from a client who has leukemia. Which of the following findings has the highest priority?

Correct Answer is A

Explanation

A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm. Which of the following interventions should the nurse include in the plan of care?

A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?

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?

A patient with acute kidney injury has been instructed to limit potassium intake. The nurse recognizes while reinforcing teaching that the teaching has been effective if the patient chooses which of the following snacks? Select all that apply

A patient receiving chemotherapy for chronic myelocytic leukemia has irritates mucous membranes. Which of the following mouth care interventions would the nurse include in the plan of care?

A patient is admitted to the hospital for a splenectomy. The nurse understands that the health-care provider prescribes an injection of vitamin K prior to surgery for which action?

Which of the following foods should a client with leukemia avoid?

The nurse is caring for a patient whose cardiac monitor shows a total absence of electrical impulse as indicated by a flat line. The nurse does not detect a pulse or blood pressure. The nurse would document this as which of the following rhythms?