A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has

fluid volume deficit. Which of the following changes should the nurse identify as an indication

that the treatment was successful?

Increase in hematocrit

increase in respiratory rate

Decrease in heart rate

Decrease in capillary refill time - Correct Answer:

Decrease in heart rate

Fluid volume deficit causes tachycardia. With correction of the imbalance, the heart rate should

return to the expected range.

Incorrect Answers:

Increase in hematocrit:

Fluid volume deficit causes an increase in hematocrit level due to depletion of extracellular fluid.

With correction of the imbalance, the hematocrit level should decrease.

increase in respiratory rate

Fluid volume deficit causes an increase in respiratory rate. With correction of the imbalance, the

respiratory rate should return to the expected range.

Decrease in capillary refill time

Fluid volume deficit slows capillary refill. With correction of the imbalance, capillary refill time

should return to the expected range.

A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The

client's family questions the nurse about the reasons for the transfer. Which of the following

responses made by the nurse is appropriate?

"The transfer of your family member is being done because the provider knows what's best."

"Would you like it if we discussed the transfer with your family member?"

"Why are you so concerned about this transfer?"

"I know how you feel. My parent had to be transferred to a long-term care facility." - Correct

Answer:

"Would you like it if we discussed the transfer with your family member?"

This response facilitates therapeutic communication and provides general leads while

maintaining client confidentiality.

Incorrect Answers:

"The transfer of your family member is being done because the provider knows what's best."

This is a defensive response which can hinder further communication.