Complex Med Surg questions with correct answers

While monitoring a patient who has fluid overload, which assessment is most concerning to the nurse? A.Bounding pulse B.Neck vein distention C.Pitting edema in the feet Presence of crackles in the lungs - Answer ANS: D Fluid overload may lead to pulmonary edema and heart failure. Any patient with fluid overload, regardless of age, is at risk for these complications. Older adults or those with cardiac problems, kidney problems, pulmonary problems, or liver problems are at greater risk. The presence of crackles in the lungs may be indicative of pulmonary edema, which can occur very quickly and lead to death in patients with fluid overload. A patient has been having frequent liquid diarrhea for the last 24 hours. A stool sample was sent to the laboratory to confirm possible Clostridium difficile infection. The nurse should monitor the patient for which electrolyte imbalance? A.Dehydration B.Hypokalemia C.Hyponatremia D.Hypocalcemia - Answer ANS: B