Which of the following nursing interventions is most appropriate when caring for a patient with dehydration?
A. Auscultate lung sounds equally
B. Monitor daily weight and intake and output
C. Monitor blood pressure for increases
D. Encourage the patient to reduce sodium intake
Ans: B. Monitor daily weight and intake and output
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During a physical assessment, the nurse notes that a patient's heart rate is 56 beats per minute. The nurse should document that the patient is experiencing:
a. dyspnea. b. cyanosis. c. diaphoresis. d. bradycardia.
If a patient tells you that she is leaving the health care facility immediately because she is upset, you should
A) call the physician and obtain a discharge order. B) inform the nurse immediately. C) let the patient leave. D) get a paper signed by the family.
MC The treatment of choice for an acute musculoskeletal injury is
A. Intermittent cold therapy. B. Moist heat therapy. C. Continuous dry therapy. D. Continuous cold therapy.
The nurse is teaching a patient how to use a topical medication. Which statement indicates an understanding of the procedure?
a. "If the patch starts to come off, I can secure it with tape." b. "If the patch falls off, I will put a new one on in the same place." c. "If my skin is irritated, I will cleanse it using water only." d. "I can dispose of used materials in the household trash as usual."