The nurse is assessing a patient and finds crackles in the lung bases and neck vein distention. Which action will the nurse take first?
a. Offer calcium-rich foods.
b. Administer diuretic.
c. Raise head of bed.
d. Increase fluids.
ANS: C
The patient is in fluid overload. Raising the head of the bed to ease breathing is the first action. Offering calcium-rich foods is for hypocalcemia, not fluid overload. Administering a diuretic is the second action. Increasing fluids is contraindicated and would make the situation worse.
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a. Marfan syndrome b. Gigantism c. Cushing syndrome d. Acromegaly
Concerning breathing techniques during labor, maternity nurses should be aware that:
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Which is the best response for the nurse to make to parents who ask why their infant has a nasogastric tube to intermittent suction after abdominal surgery?
a. "The nasogastric tube decompresses the abdomen and decreases vomiting.". b. "We can keep a more accurate measure of intake and output with the nasogastric tube.". c. "The tube is used to decrease postoperative diarrhea.". d. "Believe it or not, the nasogastric tube makes the baby more comfortable after surgery.".
A child that weighs 55 pounds requires __________ of fluid per day
1. 800 ml 2. 500 ml 3. 300 ml 4. 200 ml