A patient has been encouraged to increase fluid intake.Which measure would be most effective for the nurse toimplement?a. Explaining the mechanisms involved in transporting fluidsto and from intracellular compartmentsb. Keeping fluids readily available for the patientc. Emphasizing the long-term outcome of increasing fluidswhen the patient returns homed. Planning to offer most daily fluids in the evening

A patient has been encouraged to increase fluid intake.Which measure would be most effective for the nurse toimplement?a. Explaining the mechanisms involved in transporting fluidsto and from intracellular compartmentsb. Keeping fluids readily available for the patientc. Emphasizing the long-term outcome of increasing fluidswhen the patient returns homed. Planning to offer most daily fluids in the evening

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter22: The Patient History And Documentation

Section: Chapter Questions

Problem 3CR

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A nurse is monitoring a patient who is receiving an IVinfusion of normal saline. The patient is apprehensive andpresents with a pounding headache, rapid pulse rate, chills,and dyspnea. What would be the nurse’s priority interventionrelated to these symptoms?a. Discontinue the infusion immediately, monitor vitalsigns, and report findings to primary care providerimmediately.b. Slow the rate of infusion, notify the primary care providerimmediately and monitor vital signs.c. Pinch off the catheter or secure the system to prevent entryof air, place the patient in the Trendelenburg position, andcall for assistance.d. Discontinue the infusion immediately, apply warm, moistcompresses to the site, and restart the IV at another site.
A nurse is assessing the vital signs of patients who presentedat the emergency department. Based on the knowledge ofage-related variations in normal vital signs, which patientswould the nurse document as having a normal vital sign?Select all that apply.a. A 4-month old infant whose temperature is 38.1°C(100.5°F)b. A 3-year old whose blood pressure is 118/80c. A 9-year old whose temperature is 39°C (102.2°F)d. An adolescent whose pulse rate is 70 bpme. An adult whose respiratory rate is 20 bpmf. A 72-year old whose pulse rate is 42 bpm
While assessing a patient in the PACU, a nurse notesincreased wound drainage, restlessness, a decreasing blood pressure, and an increase in the pulse rate. The nurse inter-prets these findings as most likely indicating: a. Thrombophlebitisb. Atelectasisc. Infectiond. Hemorrhage
An older client is receiving an IV of 0.9% Normal Saline solution at 75 mL/hour. Which finding indicates to the practical nurse that the client may be developing a complication from this therapy? A Episodes of vertigo and loss of balance.B Fatigue and breathlessness upon exertion. C Apical pulse rate of 64 beats/minute. D Average 24-hour urinary output of 1,400 mL.
A nurse is caring for a patient who has crippling rheumatoidarthritis. Which nursing intervention best represents the useof integrative care?a. The nurse administers Naproxen (Aleve) and uses guidedimagery to take the patient’s mind off the pain.b. The nurse prepares the patient’s physician-approved herbaltea and uses meditation to relax the patient prior to bed.c. The nurse administers Naproxen (Aleve) and performsprescribed range-of-motion exercises.d. The nurse arranges for acupuncture for the patient anddesigns a menu high in Omega-3 fatty acids.
A nurse is preparing an exercise program for a 65-year-oldmale patient who has COPD. Which instructions would the nurse include in a teaching plan for this patient? Select allthat apply.a. Instruct the patient to avoid sudden position changes thatmay cause dizziness.b. Recommend that the patient restrict fluid until afterexercising is finished.c. Instruct the patient to push a little further beyond fatigueeach session.d. Instruct the patient to avoid exercising in very cold or veryhot temperatures.e. Encourage the patient to modify exercise if weak or ill.f. Recommend that the patient consume a high-carb, lowprotein diet.
OBJa nurse is preparing to measure a clients vital signs. The nurse should identify that which of the following factors will affect the methods that are used
A nurse is developing a plan of care related to preventionof pressure ulcers for residents in a long-term care facility.Which action would be a priority in preventing a patient fromdeveloping a pressure ulcer?a. Keeping the head of the bed elevated as often as possibleb. Massaging over bony prominencesc. Repositioning bed-bound patients every 4 hoursd. Using a mild cleansing agent when cleansing the skin
Which action would be most important for a nurse to includein the plan of care for a patient who is 85 years old and haspresbycusis?a. Obtaining large-print written materialb. Speaking distinctly, using lower frequenciesc. Decreasing tactile stimulationd. Initiating a safety program to prevent falls
A patient with a high output NG tube is at risk for which imbalance(s)? What assessment findings and nursing implementation would you expect?
Nurse is preparing to administer amoxicilin 30mg /kg/day, devided equaly every 12hr who weights 32 lbs. Available 200mg/5ml. How many ml should nurse administer?
An older adult arrives at the emergency department with reports of severe nausea and vomiting large amounts of liquid brown emesis at home. The client's vital signs are a temperature of 96.4 'F, heart rate 124 beats/minute, respirations of 16 beats/minute, and blood pressure of 75/38 mmHg. Which intervention is the most important for the nurse to implement? A. Maintain strict intake and output B. Monitor blood glucose level C. Keep the head of the bed 45 degrees D. Assess warmth of extremeties