LPN ATI fundamental exam
LPN ATI fundamental exam ( 53 Questions)
A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse should identify which of the following findings as indications that the client has fluid volume deficit. (Select all that apply.)
A full bounding pulse is a sign of increased fluid volume or fluid overload, not fluid volume deficit.
Cool extremities can be an indication of decreased peripheral perfusion, which may occur in fluid volume deficit.
Moist crackles in the lungs are an indication of fluid volume excess or pulmonary congestion, not fluid volume deficit.
Orthostatic hypotension, which is a drop in blood pressure when changing from lying to standing, can be a sign of fluid volume deficit due to inadequate blood volume.
Flat neck veins are an indication of decreased venous return and can occur in fluid volume deficit.
A: A full bounding pulse is a sign of increased fluid volume or fluid overload, not fluid volume deficit.
B: Cool extremities can be an indication of decreased peripheral perfusion, which may occur in fluid volume deficit.
C: Moist crackles in the lungs are an indication of fluid volume excess or pulmonary congestion, not fluid volume deficit.
D: Orthostatic hypotension, which is a drop in blood pressure when changing from lying to standing, can be a sign of fluid volume deficit due to inadequate blood volume.
E: Flat neck veins are an indication of decreased venous return and can occur in fluid volume deficit.
