In older adults, rapid infusion of fluids can lead to
a. Hypotension
b. Thrombophlebitis
c. Mitral insufficiency
d. Heart failure
D
Heart failure can result from rapid infusion of intravenous fluids in older adults.
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A client diagnosed with depression states, "Even in high school I was a failure. It's a wonder I was associated with successful friends." The nurse knows this client is making:
1. A hard situation worse. 2. Attributions about his life. 3. Excuses about his present behavior. 4. Assumptions about his friends.
The nurse is caring for a client with a new tracheostomy. After completing a teaching session on tracheostomy care, what should the nurse include in the documentation?
A) The language used for teaching. B) The need for additional teaching. C) The client's questions after the teaching session. D) The supplies required for teaching.
When auscultating a client's abdomen, a nurse notes gurgling sounds. What characteristic of sound would the nurse document?
A) Resonance B) Turgor C) Quality D) Texture
When counting respirations,
A. count each inhalation and each expiration and add them together. B. wear gloves. C. count one inhalation and one expiration as one respiration. D. tell the patient what you are doing.