A patient is receiving intravenous fluids post-operatively following cardiac surgery. Nursing assessments should focus on which postoperative complication?
a. Fluid volume excess
b. Fluid volume deficit
c. Seizure activity
d. Liver failure
Answer: a. Fluid volume excess
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A nurse is reviewing the action of memantine. The nurse understands that this drug addresses which of the following?
A) Acetylcholine B) Glutamate C) Serotonin D) Dopamine
A patient with Cushing's syndrome as a result of a pituitary tumor has been admitted to your unit for a transsphenoidal hypophysectomy. What would be important for the nurse to monitor before, during, and after surgery?
A) Blood glucose B) Assessment of urine for blood C) Weight gain D) Exposure to others with infection
You are working in a clinic which focuses on holistic treatment of the entire family. When reviewing information on family nursing you realize that: (Select all that apply.)
a. one out of every 5 children have been adopted b. one out of every 3 Americans is a member of a stepfamily c. of all marriages, 43% are remarriages for one of the adults d. of all first marriages, 52–62% end in divorce e. stepfamilies are one of the more typical family structures f. divorced persons remarry within ten years (64% within five years).
The nursing care plan specifies obtaining abdominal girth measurements each shift. The nurse takes the measurement, but when compared with the previous measurement, the new finding is several millimeters off. Which action by the nurse is best?
a. Document the finding in the client's chart. b. Look to see when the client last had a dose of diuretic. c. Ensure that the client's abdomen and flanks are marked with pen. d. Obtain the measurement while the client sits upright.