A symptom of fluid overload is

Correct Answer: A

Rationale: The correct answer is A. Skin that appears tight, smooth, and shiny is a symptom of fluid overload due to increased fluid retention in the body. This occurs because excess fluid accumulates in the tissues, causing the skin to appear tight and shiny. B: Weight loss is not a symptom of fluid overload, as excess fluid retention typically leads to weight gain. C: Increased urine output is a symptom of fluid volume deficit, not fluid overload. D: Decreased heart rate is not typically associated with fluid overload; instead, it may be a sign of dehydration.

Correct Answer: A

Rationale: The correct answer is A: First-degree (superficial) burn. This type of burn only affects the epidermis, causing redness and pain. The epidermis is the top layer of the skin, and a first-degree burn is characterized by mild symptoms such as redness and pain without blistering or skin damage. Choice B: Second-degree (partial-thickness) burn involves damage to both the epidermis and the dermis, leading to blistering and more severe pain. Choice C: Third-degree (full-thickness) burn affects all layers of the skin, causing white or charred skin and potentially no pain due to nerve damage. Choice D: Scald is a type of injury caused by hot liquids or steam, not a specific classification of burn. In summary, the other choices are incorrect because they describe burns that involve deeper layers of the skin and more severe symptoms compared to a first-degree burn, which only affects the epidermis.

Correct Answer: D

Rationale: The correct answer is D because range of motion exercises can help improve muscle tone in individuals with congestive heart failure, aiding in overall physical functioning and quality of life. It is important for patients with heart failure to maintain muscle strength to support the heart and enhance exercise tolerance. A: Being on a high-sodium diet is not recommended for individuals with congestive heart failure as it can lead to fluid retention and worsen symptoms. B: Medications that cause a decrease in urinary output can exacerbate fluid retention, which is detrimental for individuals with congestive heart failure. C: Having a force fluids medical order is not typically necessary for individuals with congestive heart failure unless there are specific indications, as excessive fluid intake can worsen symptoms and lead to fluid overload.

Correct Answer: C

Rationale: The correct answer is C: Elevate an extremity that is in a cast. Elevating the extremity helps reduce swelling and promote circulation, aiding in the healing process. Elevating the casted limb above the heart level also helps to reduce pain and discomfort. A: Keeping the cast wet or damp can lead to skin irritation, infection, and weakening of the cast material. B: Using a sharp object to remove items inside the cast can cause injury to the skin and the underlying tissues. D: Using warm water and soap to wash the cast can weaken the cast material and may lead to skin irritation and infection.

Correct Answer: A

Rationale: The correct answer is A because scheduling bathing when the resident is least agitated helps reduce stress and resistance. This approach promotes a more positive bathing experience and ensures safety. Choice B is incorrect as rushing can lead to accidents and increased agitation. Choice C is incorrect as forcing the resident to bathe can lead to further resistance and distress.