During the assessment of a high-acuity patient, the nurse realizes that the patient has been on a sodium restricted diet which could impact the patient's fluid and electrolyte balance
This information was obtained from which of the following components of the fluid and electrolyte assessment? 1. vital signs
2. history
3. physical assessment
4. laboratory data
2
Rationale: When obtaining the history, the patient will be asked specific questions that include dietary restrictions that would alter the fluid and electrolyte status of the patient. Vital signs would be focusing on the patients' temperature, pulse, respirations, and blood pressure. Physical assessment would be done using the techniques of inspection, palpation, percussion and auscultation. Laboratory data would consist of information gained from the analysis of blood or urine samples.
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The nurse caring for a 2-day postoperative colostomy patient should report immediately if a stoma is assessed as:
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The DON has been given some very unpleasant mandates by the administrator and has very abruptly handed them down to the DON who has, in turn, forcefully handed them down to the charge nurse. It is now the charge nurse's task to hand them down to the nursing staff. The charge nurse gives the news to the staff in a very angry manner. This procession of behavior throughout the nursing hierarchy is an example of: A) Sublimation B) Identification C) Transference D) Reaction formation
A client reports taking megadoses of vitamin D. The nurse instructs the client to be aware of which symptom of vitamin D toxicity?
a. Bradycardia b. Blurred vision c. Nausea and vomiting d. Palpitations