The nurse monitors clients for the excessive accumulation of interstitial fluid known as edema. Which one of the following clients should this nurse monitor closely for this condition?
A) A 30-year-old client with a prolonged fever
B) A 16-year-old client diagnosed with anorexia nervosa
C) A 20-year-old client with food poisoning who is vomiting excessively
D) A 78-year-old client with liver cirrhosis
D
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Edema is associated with fluid volume excess, which can occur with liver cirrhosis. This disease can increase venous pressure and cause faulty reabsorption of fluids and electrolytes. A prolonged fever, excessive vomiting, and anorexia nervosa may cause fluid volume deficit and dehydration.
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The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers. What is the legal blood alcohol serum level in most states?
a. 0.08% b. 0.20% c. 0.40% d. 0.50%
A nurse assessed carefully and created a comprehensive intervention plan including primary, secondary, and tertiary care for individuals and families. Which of the following factors may the nurse have overlooked?
a. Are other staff members interested in such a project? b. Are there adequate resources for such a project? c. Is there support from the administration for the project? d. Does the nurse have adequate energy and time for such a project?
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A) Decrease intraocular pressure (IOP) B) Maintain the integrity of the cornea C) Decrease inflammation D) Support normal function of the lacrimal glands
Which intracerebral disease process is capable of producing diffuse dysfunction?
a. Closed-head trauma with bleeding b. Subdural pus collections c. Neoplasm d. Embolic infarct