A client diagnosed with acute kidney injury? (AKI) has jugular vein? distention, lower extremity? edema, and elevated blood pressure. Based on this? data, which nursing diagnosis is most? appropriate?
A) Ineffective Renal Tissue Perfusion
B) Excess Fluid Volume
C) Risk for Decreased Cardiac Tissue Perfusion
D) Risk for Infection
Ans: B) Excess Fluid Volume
You might also like to view...
What is the result of the difference between the pressure within the pleural space and the pressure of the outside air?
a. It allows the lungs to push oxygen out into the bloodstream. b. It prevents the lungs from collapsing on exhalation. c. It pulls air into the pleural space. d. It pushes air from the pleural cavity into the lungs.
The nurse is assisting at an athletic team function at her child's school. The nurse understands that the use of cold, compression, and elevation will be indicated if a student has which of the following injuries?
1. Muscle spasm 2. Dislocation of the elbow 3. An ankle sprain 4. A repetitive-use strain of the wrist
All except which of the following are cognitive therapy techniques?
A) Reviewing homework assignments B) Listing an agenda for each session C) Listing primary defenses used in life D) Reviewing the session prior to ending
Which drug is the primary agent for paroxysmal supraventricular tachycardia (PSVT)?
1. Flecainide (Tambocor) 2. Adenosine (Adenocard) 3. Lidocaine (Xylocaine) 4. Procainamide (Pronestyl)