Which manifestation is associated with a dilutional hyponatremia?
A. Jugular vein distension in the upright position
B. Presence of dependent edema
C. Increased urine osmolarity
D. Narrow pulse pressure
A
A dilutional hyponatremia occurs when there is an excess of water in the vascular compartment. This condition results in hypervolemia accompanying the hyponatremia. The extra fluid increases the venous pressure. Although more fluid is present, the fluid enters the cells and the resulting edema is not dependent nor does it pit when pressure is applied.
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A 2-year-old has trouble going to bed at night. The parents ask what can be done to help with the transition to bed each evening. Which of the following would be the nurse's best response?
1. Let the child cry herself to sleep a few nights to adjust to the transition. 2. Let the child fall asleep while playing and then put the child to bed in her room. 3. Read a book to the child just before bedtime each night. 4. Play a favorite video at bedtime on a television in the child's room to help the child relax.
According to the Quality Chasm report:
a. health care providers should be proactive rather than reactive to patient needs. b. common needs rather than individual preferences should be the priority. c. medical information should be confined to the primary care provider. d. specialized providers or case managers should control health care decisions.
A nurse is working in community-based nursing. Which competency is priority for this nurse?
a. Caregiver b. Collaborator c. Change agent d. Case manager
Patients may fail to comply with a proposed healthcare regimen and therefore are perceived to be noncompliant. Identify common reason(s) a patient may be noncompliant with a plan of care? Select all that apply
a. There is no available support system in place to assist with compliance. b. The patient does not understand the plan. c. The plan of care is inconvenient. d. The patient is stubborn by nature.