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 C

Explanation

A. Stewed apples are generally safe for a client with leukemia unless there are specific dietary restrictions.
B. While white bread is not typically contraindicated for leukemia patients, it is generally advisable to consume whole grains for better nutrition.
C. Well-done steak may pose a risk of bacterial contamination, especially for immunocompromised individuals such as those with leukemia. Therefore, it is advisable to avoid undercooked or raw meats.
D. Carrot sticks are generally safe and nutritious for individuals with leukemia unless there are specific dietary restrictions.

A. "Wear tight fitting clothes." B. "Take baths instead of showers." C. "Empty the drainage bag at the same time each day." D. "Secure the tubing to your clothing"

Correct Answer is D

Explanation

A. Tight fitting clothes may put pressure on the T-tube insertion site and interfere with drainage. Loose-fitting clothing is recommended.
B. Showering is typically preferred over baths to keep the T-tube site clean and dry.

Baths may increase the risk of infection.

C. Regular emptying of the drainage bag helps prevent excessive weight, which can pull on the T-tube and cause discomfort or displacement. However, it should necessarily be emptied at the same time each day.
D. Securing the tubing to clothing helps prevent accidental dislodgment or pulling on the T-tube, reducing the risk of complications.

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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

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

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching with a client who is postoperative for a traditional cholecystectomy and has a T-tube in place. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

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