A patient is receiving fluid replacement. The nurse's health teaching with this patient includes which suggestions? (Select all that apply.)

Correct Answer: A

Rationale: Monitoring weight daily (A) helps assess fluid balance, as sudden changes may indicate fluid retention or loss. Thirst (B) is an early sign of mild dehydration. Monitoring intake and output (C) is essential to evaluate fluid status. Avoiding calcium and chloride supplements (D) is not relevant to fluid replacement. Reviewing electrolyte labs (E) is important but not part of routine health teaching for fluid replacement.

Correct Answer: B

Rationale: Heparin is an anticoagulant medication used to prevent blood clots. If a patient on heparin therapy experiences excessive bleeding or needs to quickly reverse the anticoagulant effects of heparin, the antidote is protamine sulfate. Protamine sulfate works by neutralizing the effects of heparin by forming a complex with it. It is important for healthcare providers to have protamine sulfate readily available when managing patients on heparin therapy to effectively reverse its anticoagulant effects in emergency situations.

Correct Answer: C

Rationale: Platelet aggregation stops bleeding, but serotonin is correct-if defective, bleeding persists. ADP , Thrombin , and Thromboxane A2 (E) promote clotting. Dopamine is unrelated. Serotonin's vasoconstrictive role, if impaired, could prolong bleeding, though less critical than others here.

Correct Answer: C

Rationale: A large-bore catheter is recommended for whole blood transfusions to allow for the rapid administration of blood products and to prevent hemolysis. Smaller catheters may not accommodate the viscosity of whole blood and could increase the risk of complications. While patient comfort and past experiences are important, the primary consideration is the safe and effective delivery of the transfusion. Therefore, a large-bore catheter is the best choice.

Correct Answer: D

Rationale: Dextromethorphan with alcohol causes dizziness and hallucinations , guiding the nurse to advise medical help. Dialysis , opioid status , and addiction are incorrect. D informs the response, making it key.