A postoperative patient is diagnosed with fluid volume overload. ...

[lunatika]

A postoperative patient is diagnosed with fluid volume overload. What should the nurse expect to assess in this patient?
 
  1. poor skin turgor
  2. decreased urine output
  3. distended neck veins
  4. concentrated hemoglobin and hematocrit levels

Question 2

An elderly patient who is being medicated for pain had an episode of incontinence. The nurse realizes that this patient is at risk for developing
 
  1. dehydration.
  2. over-hydration.
  3. fecal incontinence.
  4. a stroke.

[Loise Hard]

Answer to Question 1

Correct Answer: 3
Circulatory overload causes manifestations such as a full, bounding pulse; distended neck and peripheral veins; increased central venous pressure; cough; dyspnea; orthopnea; rales in the lungs; pulmonary edema; polyuria; ascites; peripheral edema, or if severe, anasarca, in which dilution of plasma by excess fluid causes a decreased hematocrit and blood urea nitrogen (BUN); and possible cerebral edema. The other answers indicate a fluid volume deficit.

Answer to Question 2

Correct Answer: 1
Functional changes of aging also affect fluid balance. Fear of incontinence can lead to self-limiting of fluid intake. Older adults who have self-care deficits, or who are confused, depressed, tube-fed, on bed rest, or taking medications (such as sedatives, tranquilizers, diuretics, and laxatives), are at greatest risk for fluid volume imbalance. There is inadequate information to support the risk of over-hydration, fecal incontinence, or a stroke.

[lunatika]

Gracias!

[ghepp]

Excellent