A patient is receiving rapid infusion of hypertonic sodium chloride solution. To determine if too much fluid is being infused too rapidly, the nurse will frequently assess the patient for:
1. increased urine output.
2. requests for high-sodium PO fluids.
3. pulmonary edema.
4. hypotonic volume contraction.
Correct Answer: 3
You might also like to view...
A nurse who provides care on a postoperative unit of the hospital has recently admitted a 65-year-old male patient who has just had prostate surgery. Which of the following post-surgical teaching points is most accurate?
A) "Perform the Valsalva maneuver at least twice daily.". B) "Avoid sexual activity for at least one week.". C) "It's important for you to avoid becoming constipated.". D) "Expect to have quite a bit of bright red blood in your urine for the next several days.".
The nurse is assisting with endotracheal intubation and understands correct placement of the endotracheal tube in the trachea would be identified by which of the following? (Select all that apply.)
a. Auscultation of air over the epigastrium b. Equal bilateral breath sounds upon auscultation c. Position above the carina verified by chest x-ray d. Positive detection of carbon dioxide (CO2) through CO2 detector devices
The nurse is completing the psychosocial history on a newly admitted adult client. The client reports trouble concentrating, rapid heartbeats, irritability, and inability to make decisions. The nurse suspects which of the following?
1. Stress reaction 2. Role confusion 3. Impending heart attack 4. Dysfunctional anxiety
A patient with COPD should present with a normal PO2? of:
A. 50-60 B. 70-90 C. 30-50 D. 40-60