The client has been diagnosed with hypotonic dehydration. Which assessment finding should the nurse expect?
A. Flattened hand veins when the hand is positioned above the heart
B. Increased urine output, decreased urine specific gravity
C. Nonpitting dependent edema
D. Poor handgrip strength
D
In hypotonic dehydration, electrolyte loss exceeds fluid loss. The remaining fluid is dilute, with hyponatremia and hypokalemia causing skeletal muscle weakness.
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The nurse administers intravaginal miconazole (Monistat) to a female patient with a vaginal candidiasis infection and a history of recent DVT, for which the patient takes warfarin (Couma-din)
For which adverse effect should the nurse monitor the patient? a. Hyperkalemia b. Increase in WBCs c. Bruising and bleeding gums d. Increased vaginal itching and burning
A nurse is asked to apply a forced-air warming device on a patient who is hypothermic following surgery. Which of the following is a guideline that should be followed when performing the skill?
A) Place the air hose under cotton blankets with airflow blanket. B) Place the airflow blanket over the patient with the plastic side down. C) Keep the air hose inlet at the head of the bed. D) Do not raise temperature more than 1°C per hour.
To maximize the potential for changes that will deliver improved patient care in any health-care agency, leaders must foster:
A. Staff meetings that separate professional disciplines so that each profession can create new care practices specific to their own discipline B. Time for nurses to read professional jour-nals while at work C. Multidisciplinary collaboration among all caregivers D. Competitiveness between each discipline by offering awards to the discipline that receives the highest comments on patient satisfaction surveys
Your state allows nursing assistants to give tube feedings. The procedure is in your job description. Before giving a tube feeding, you need which information from the nurse and the care plan?
a. How to correctly identify the person b. What time the feeding should be done c. The cost of the formula d. What formula to use