Med-Surg: Fluid & Electrolyte Questions
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A nurse is caring for a client who had CKD. The nurse should monitor
the client for which of
the following manifestations of fluid overload?
A. Flat Neck Veins
B. Weak Pulse
C. Increased Hematocrit
D. Increased Blood Pressure
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Ans: Answer: D.
The nurse should monitor the blood pressure of a client who has CKD. The
client who is experiencing fluid overload due to CKD will manifest an
increase in blood pressure.
A nurse is caring for a client who has CKD. Which of the following
actions should the nurse
take to manage fluid overload?
A. Weight the client periodically throughout the day.
B. Measures the client's output every 8 hours
C. Obtain the client's blood pressure at least every 4 hours
D. Limit client's oral fluid intake to meal times
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Ans: Answer: C.
The nurse should obtain the client's blood pressure at least every 4 hr. An
increase in the blood pressure can indicate fluid overload and
hypertension which can lead to further kidney damage. The nurse should
monitor the blood pressure of a client who has CKD. The client who
is experiencing fluid overload due to CKD will manifest an increase in
blood pressure.
A nurse is reinforcing discharge teaching with a client who has
undergone a transurethral
resection of the prostate (TURP). Which of the following statements
should the nurse include in
the teaching?
A. increase fluid intake if you're in becomes blood tinged
B. take naproxen for discomfort.
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C. sexual activity is permitted after two weeks.
D. urinary dribble and will resolve within 5 days.
Ans: Answer : A.
Rational. The nurse should reinforce that strenuous activity, straining to the
bowel movement and coughing may cause the urine to become blood
tinged. If this should occur the client should stop the activity, rest, and
increase fluid intake. If urine becomes increasingly blood tinged or does
not clear , or if the client has difficulty voiding, then he or she should be
instructed to notify the provider.
A nurse is reviewing the medical records of a group of clients. The
nurse should identify that
hemodialysis is appropriate for which of the following clients ?
A. A client who has minimal urine output following a drug overdose.