ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
The nurse is caring for an older adult client who is receiving intravenous fluids at 150 mL/hr. Upon assessment,the nurse notes crackles shortness of breath and jugular vein distention. Based on this data which complication of IV fluid therapy does the nurse anticipate?
Correct Answer: B
Rationale: The correct answer is B: Fluid volume excess. The signs and symptoms of crackles, shortness of breath, and jugular vein distention indicate fluid overload. The IV rate of 150 mL/hr is likely too high for the older adult, leading to excessive fluid administration. Crackles indicate fluid in the lungs, shortness of breath suggests pulmonary congestion due to fluid accumulation, and jugular vein distention signifies increased venous pressure from fluid overload. Fluid volume deficit (
A) would present with different signs such as hypotension and tachycardia. Speed shock (
C) is a rapid reaction to IV medication, not fluid overload. Pulmonary embolism (
D) would present with chest pain, dyspnea, and tachycardia, not the specific signs seen in this case.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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