A patient is admitted with bleeding from the gastrointestinal tract. The nurse plans interventions to support the balance of which fluid volume compartment?
1. Transcellular
2. Intravascular
3. Interstitial
4. Intracellular
Answer: 2
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A nurse provides health screening for a community health center with a large population of African-American clients. Which priority assessment should the nurse include when working with this population?
a. Measure height and weight. b. Assess blood pressure. c. Observe for any signs of abuse. d. Ask about medications.
A patient who came to the clinic after finding a mass in her breast is scheduled for a diagnostic breast biopsy. What is a priority nursing action?
A) Acknowledge the fear the patient is experiencing. B) Refer her to a breast cancer recovery group. C) Set up a consultation with a breast cancer survivor. D) Instruct the patient on prosthetic devices.
The family of a suicidal client is very supportive and requests more facts related to caring for their family member after discharge. Which information should the nurse provide?
A. Address only serious suicide threats to avoid the possibility of secondary gain. B. Promote trust by verbalizing a promise to keep suicide attempt information within the family. C. Offer a private environment to provide needed time alone at least once a day. D. Be available to actively listen, support, and accept feelings.
During orientation to an emergency department, the nurse educator would be concerned if the new nurse listed which of the following as a risk factor for impaired thermoregulation?
a. Impaired cognition b. Occupational exposure c. Physical agility d. Temperature extremes