A client has cirrhosis. Which nursing intervention would be most effective in controlling ascites?
a. Monitoring intake and output
b. Providing a low-sodium diet
c. Increasing oral fluid intake
d. Weighing the client daily
B
A low-sodium diet is one means of controlling abdominal fluid collection. Monitoring intake and output does not control fluid accumulation, nor does weighing the client. These interventions merely assess or monitor the situation. Increasing fluid intake would not be helpful.
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Several months ago, the nurse accepted a management position in the neurological care unit. The nurse has been very challenged and stressed and is unsure the position change was the correct choice. What should the nurse do now?
1. Give proper notice and go back to the previous position. 2. Discuss the matter with the director of the unit. 3. Discuss the matter with staff nurses on the unit. 4. Take a few days off to think about the situation.
A client is recovering from MTF sexual reassignment surgery. What health teaching should the population health nurse provide to this client as a part of health restoration strategies? (Select all that apply.)
1. Having routine PSA levels drawn. 2. Actions to prevent the development of a stroke. 3. Explaining the risk of heart disease from hormone therapy. 4. Importance of completing monthly breast self-examination. 5. Discussing mammography as prescribed by the healthcare provider.
A patient has recently begun taking phenytoin (Dilantin) for a seizure disorder. The nurse notes a reddish-brown color to the patient's urine. Which action will the nurse take?
a. Ask the provider to order a serum drug level. b. Reassure the patient that this is a harmless side effect. c. Report possible thrombocytopenia to the provider. d. Request an order for a urinalysis and creatinine clearance.
The main phenomena considered of interest to nursing center around which four concepts?
a. Variables d. Environment b. Person e. Health c. Conflict f. Nursing