When planning care for a dehydrated patient, the nurse remembers that the principle of water balance is closely related to the balance of:
a. potassium.
b. chloride.
c. bicarbonate.
d. sodium.
ANS: D
Because water follows the osmotic gradients established by changes in salt concentration, water balance is tied to sodium balance, not that of potassium, chloride, or bicarbonate.
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An older woman has diabetes mellitus. Which patient assessment validates the nurse's conclusion that she is in the foreground perspective of the shifting perspectives model of chronic illness?
a. Has an amputation of two toes. b. Lives at home with her husband. c. Frequently self-checks her blood sugar. d. Changes the battery in her glucometer.
Since starting school 2 weeks ago, a child has been experiencing encopresis and has abdominal pain and cramping without abdominal distention. The nurse should prepare the client for which of these procedures?
a. enemas b. antibiotic therapy c. a fecal smear d. upper and lower gastrointestinal (GI) barium studies
The nurse informatics (NI) specialist incorporates nursing science, computer science, and information science to support nursing in utilization of the data collection. Priorities for an NI specialist include:
a. Developing computer information systems for the hospital. b. Incorporating common nursing nomenclature into the system. c. Researching evidence-based practice. d. Developing restrictions of certain patient information to insurance companies.
Which patient would the nurse identify as benefiting from the use of noninvasive ventilation (NIV)?
1. A 55-year-old female with an acute exacerbation of asthma 2. A 57-year-old male with a history of sleep apnea 3. A 48-year-old female with an acute myocardial infarction 4. A 72-year-old male with sepsis