An older adult patient is assessed by a nurse as showing signs of fluid volume excess. What signs should the nurse assess?

a. Redness, warmth, and drainage of fluid at the IV site
b. Redness, warmth, and tenderness at the IV site
c. Complaints of shortness of breath and pounding pulse
d. Puffiness of face, dyspnea, and pain at the IV site


C
Fluid volume excess in the circulating volume can overload the heart's ability to handle the excess blood. The excess fluid can leak into the pulmonary tree, causing shortness of breath and rales.

Nursing

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Which of the following produce their laxative effect by direct action on the intestine to increase peristalsis? Select all that apply

A) Sennosides (Senokot) B) Methylcellulose (Citrucel) C) Glycerin (Fleet Babylax) D) Bisacodyl (Dulcolax) E) Lactulose (Chronulac)

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If only a small volume of sperm is discharged into the vagina, an insufficient amount of enzymes might be released when they encounter the ovum. In that case, pregnancy would probably not result, because:

1. Peristalsis of the fallopian tube would decrease, making it difficult for the ovum to enter the uterus. 2. The block to polyspermy (cortical reaction) would not occur. 3. The fertilized ovum would be unable to implant in the uterus. 4. Sperm would be unable to penetrate the zona pellucida of the ovum.

Nursing

The nurse cautions the 79-year-old male who had a gastrectomy a month ago that he is at risk for _____ anemia

a. aplastic b. pernicious c. iron deficiency d. nutritional

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Which of the following statements is true about the treatment of anemia with hematinics?

A. Hematinics are available as over-the-counter products in tablet, capsule, and liquid forms. B. Long-term iron-deficient patients may require 100 to 200 mg of iron TID for at least 6 months. C. The addition of ascorbic acid (vitamin C) to hematinics enhances the intestinal absorption of iron. D. All of these are correct.

Nursing