Practice Question
A nurse is assessing a client who is receiving continuous IV fluids through a peripheral IV. Which of the following findings indicates to the nurse that the client is experiencing fluid overload?
Answer Choices:
Correct Answer:
Crackles in the lungs
Rationale:
Fluid overload, also known as hypervolemia, occurs when there is excessive fluid in the bloodstream, leading to increased hydrostatic pressure. One of the key signs of fluid overload is the presence of crackles in the lungs, which results from fluid accumulation in the alveoli. This can cause dyspnea, tachypnea, and decreased oxygen saturation, potentially progressing to pulmonary edema if not addressed.
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This question is from RN Fundamentals 2019 with NGN~Exam 2 which contains 65 questions.
More Questions from This Exam
A nurse is assessing the visual acuity of a client who wears glasses using a Snellen chart. Which of the following actions should the nurse take?
Answer Choices:
A. Position the client 38 m (10 feet) away from the chaff
B. Document the largest line the client can read on the chart.
C. Instruct the client to begin the assessment with both eyes open.
D. Begin by testing the client while they are wearing glasses
A nurse is preparing to administer several medications to a client.Which of the following data should the nurse plan to use to confirm the client's identity?
Answer Choices:
A. The client's room number
B. The client's admitting diagnosis
C. The name of the client's next of kin
D. The client's telephone number
A nurse is planning to provide discharge instructions to a client who does not speak the same language as the nurse. Which of the following actions should the nurse take?
Answer Choices:
A. Find an assistive personnel who speaks the client's language.
B. Ask a family member of the client to translate for the nurse.
C. Arrange for a video conference with an interpreter who speaks the client's language-
D. Speak to the client while indicating printed instructions in the client's language.
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?
Answer Choices:
A. Administer 240 mL (8 oz) of oral contrast before the procedure.
B. Monitor the client for pain in the suprapubic region.
C. Assist the client with a bowel cleansing.
D. Ensure the client is free of metal objects.
A nurse is providing teaching to a client about the administration of clotrimazole vaginal suppositories.Which of the following statements by the client indicates an understanding of the teaching?
Answer Choices:
A. "l can discontinue the medication once my symptoms are gone!'
B. "l will lie on my left side to insert the suppository."
C. "l will put some lubricant on the flat end of the suppository."
D. "l will place the suppository as far inside my vagina as I can reach."
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4