A nurse is caring for several clients at risk for overhydration. The nurse assesses the older client with which finding first?

a. Has had diabetes mellitus for 12 years
b. Uses sodium-containing antacids fre-quently
c. Just received 3 units of packed red blood cells
d. Had abdominal surgery and has a naso-gastric tube


C
Blood replacement therapy involves intravenous fluid administration, which inherently increases the risk for overhydration. The fact that the fluid consists of packed red blood cells greatly in-creases the risk, because this fluid increases the colloidal oncotic pressure of the blood, causing fluid to move from interstitial and intracellular spaces into the plasma volume. An older adult may not have sufficient cardiac or renal reserve to manage this extra fluid.

Nursing

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Which benchmarks will indicate to the nurse that the agency has computerized information systems that demonstrate "meaningful use"? (Select all that apply.)

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1. The nurse anesthetist 2. The surgeon 3. The scrub nurse 4. The circulating nurse

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Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients?

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Abduction is moving a joint toward the body

Indicate whether the statement is true or false

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