Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test 2026 – All-in-One Resource to Excel in Your Exam!

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What are common nursing interventions for a patient with fluid overload?

Monitor vital signs, restrict fluid intake, and administer diuretics

The correct choice outlines essential nursing interventions for managing fluid overload, a condition where excess fluid accumulates in the body, often due to heart, kidney, or liver failure. Monitoring vital signs is crucial as it helps detect any changes that may indicate worsening fluid overload, such as elevated blood pressure or changes in heart rate.

Restricting fluid intake is a key intervention because it helps prevent further accumulation of fluid in the body and manages symptoms like edema and dyspnea. Additionally, administering diuretics is a cornerstone therapy in fluid overload management. Diuretics help the body eliminate excess fluid through increased urine output, facilitating the reduction of weight and fluid retention.

In contrast, the other choices involve interventions that are not appropriate or effective for managing fluid overload. Increasing fluid intake would exacerbate the condition, and encouraging a high sodium diet can worsen fluid retention. Positioning the patient upright is often done for comfort, particularly if there are respiratory issues, but administering more fluids contradicts the management plan for fluid overload, which aims to reduce excess fluid.

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Increase fluid intake and monitor electrolyte levels

Encourage high sodium diet and regular exercise

Position the patient upright and administer more fluids

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