A client is brought to the emergency department with complaints of shortness of breath. Assessment reveals a full, bounding pulse, severe edema, and audible crackles in lower lung fields bilaterally. What is the client's most likely diagnosis?

A)
Hyponatremia
B)
Fluid volume excess
C)
Electrolyte imbalance: hypocalcemia
D)
Hyperkalemia


Ans:
B

Feedback:

Peripheral and pulmonary edema as well as a bounding pulse and dyspnea are indicators of fluid volume overload.

Nursing

You might also like to view...

The nurse is providing care for an elderly client who has been discharged. The client is ordered to take atorvastatin (Lipitor) for the treatment of elevated cholesterol

What precautions should the nurse advise the client to report to the healthcare provider? A) shortness of breath B) muscle pain and weakness C) headaches D) bruising and excessive bleeding

Nursing

A patient with a recent diagnosis of type 2 diabetes has been prescribed metformin (Glucophage) 500 mg PO t.i.d

The nurse who is providing this patient's care should recognize that this medication helps the patient achieve stable blood glucose levels by: A) Stimulating insulin release from the pancreatic beta cells. B) Facilitating the action of insulin on peripheral receptor sites C) Stimulating insulin synthesis by the pancreatic beta cells D) Delaying the absorption of glucose in the intestinal system

Nursing

The nurse is performing a wet-to-dry dressing change on a stage IV pressure ulcer. The nurse understands that the purpose of this type of dressing is to:

1. keep the wound moist. 2. prevent infection. 3. débride necrotic tissue. 4. increase circulation to the tissue.

Nursing

What does the student learn about the effects of long-term starvation?

a. Energy is supplied through glycogenolysis. b. Gluconeogenesis begins for energy requirements. c. Increase in inflammatory mediators. d. Use of ketone bodies for energy needs. e. Proteolysis begins in adipose tissue

Nursing