For a client with a nursing diagnosis of Fluid volume excess, the nurse is alert to which one of the following signs and symptoms?
a. Tachycardia
b. Hypertension
c. Dry mucous membranes
d. Fever
B
Hypertension is a symptom of fluid volume excess.
Tachycardia is associated with fluid volume deficit.
Dry mucous membranes are symptomatic of fluid volume deficit/dehydration, not excess fluid.
Fever is a symptom of fluid volume deficit.
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The nurse has assessed a client and notes diminished reflexes. How would the nurse document this finding in the medical record?
1. 4+/0 - 4+. 2. 3+/0 - 4+. 3. 2+/0 - 4+. 4. 1+/0 - 4+.
2 cups = _____ fluid oz
a. 12 b. 24 c. 32 d. 16
Which statement by the parent of a middle-school student indicates to the school nurse that more teaching on tick prevention is needed?
A) "I should spray my child with an insect repellant containing at least 10-20% DEET." B) "I should check my child's skin for ticks when he comes in from playing outdoors." C) "I don't need to check his hair because ticks do not like hair." D) "I should dress my child in long sleeves and long pants."
A client has a noise-induced hearing loss that occurred after he repeatedly fired a rifle during target practice. In additional to being counseled to avoid behaviors that cause a hearing deficit, the client should also be counseled about:
1. Wearing protective devices. 2. Gun safety. 3. Low-frequency hearing losses. 4. Sign language.