A client who is receiving IV therapy has decreased urine output, has poor skin turgor, and is becoming confused. The nurse should suspect that the client is becoming:
a. overhydrated c. septicemic
b. dehydrated d. edematous
B
IV fluids may cause fluids to leave the vascular space, resulting in dehydration. Symptoms include decreased urine output, poor skin turgor, and becoming confused.
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What nursing diagnosis takes priority when planning care for a patient with trigeminal neuralgia?
a. Pain related to inflammation of cranial nerve V b. Imbalanced nutrition: less than body requirements c. Self care deficit: hygiene d. Ineffective coping
A client hospitalized for psychotic symptoms including auditory hallucinations and delusions of reference is prescribed a medication with a strong dopamine blocking action
The nurse teaches the client to recognize which symptom as a possible side effect of the medication? 1. Muscle stiffness 2. Constipation 3. Orthostatic intolerance 4. Dry mouth
A client has been treated in the emergency department after a tornado and is awaiting discharge instructions. This client is close to losing control, although other family members are attempting to calm him down
Which response by the nurse is most helpful? a. Call security and have them standing by in case they are needed. b. Instruct the person to leave the area until he can calm down. c. Offer the client the choice of waiting in the treatment room or the waiting room. d. Ask the family to help move the client out of the treatment area.
Which term means farsightedness, a condition that normally occurs as a result of the aging process?
A. diplopia B. myopia C. presbyopia D. amblyopia