When assessing the client's hydration status, the nurse finds the client to have a blood pressure of 140/90 mm Hg and skin turgor assessment shows generalized nonpitting edema. What is the correct interpretation of these findings?
A. Hypotonic dehydration
B. Hypertonic dehydration
C. Hypotonic overhydration
D. Hypertonic overhydration
C
In hypotonic dehydration, fluid shifts from the extracellular compartment into the intracellular compartment. These actions cause intracellular swelling. Because the swelling is intracellular rather than interstitial, it is generalized and nonpitting rather than dependent and pitting.
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The nurse caring for a client with a chest tube to water seal is bathing and changing the linen when the sealed drainage system becomes damaged and the client suddenly becomes short of breath. The nurse's priority action is to:
1. Clamp the chest tube closer to the client. 2. Have the client cough forcefully. 3. Connect a new sealed drainage system. 4. Notify the charge nurse and physician.
A child has a platelet count of 45,000/mm3 with petechiae and excessive bruising covering his body. The nurse is aware that these signs are clinical manifestations of:
a. erythroblastopenia. b. von Willebrand's disease. c. hemophilia. d. immune thrombocytopenia purpura (ITP).
For clients with eating disorders, the nurse must consider which of the following when deciding appropriate boundaries for the client and family members?
A) Family members of clients with anorexia nervosa are usually very autonomous. B) Family members of individuals with bulimia nervosa tend to bond together. C) Families of clients with bulimia nervosa are enmeshed. D) Families of clients with anorexia nervosa become enmeshed.
Which research discipline seeks to develop practical applications based on research knowledge?
a. Meta-analysis b. Meta-synthesis c. Rigorous experimental studies d. Translational research