The client is being evaluated for dehydration. The nurse is aware that several conditions increase the loss of fluid from the body. What is one of the conditions that might increase the fluid loss?
A) Thirst C) Congestive heart failure
B) Strenuous exercise D) Controlled diabetes
B
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Extreme environmental temperatures (very hot or very cold), high altitude, low humidity, and strenuous exercise increase insensible water losses from respirations and the skin.
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A nurse is caring for a patient following knee surgery that was performed under a spinal anesthetic. What intervention should the nurse implement to prevent a spinal headache?
A) Have the patient sit in a chair and perform deep breathing exercises. B) Ambulate the patient as early as possible. C) Limit the patient's fluid intake for the first 24 hours postoperatively. D) Keep the patient positioned supine.
Nurse S encourages older adult clients to engage in spiritual beliefs and practices that they are familiar with. How can this activity be best characterized?
A) Spiritual concerns are less relevant than immediate physical and financial issues. B) Older adults raised in more religious times are more likely to spontaneously express their spirituality. C) Addressing clients' expressions of spirituality is beyond the scope of appropriate nursing. D) Spiritual expression can be useful in facilitating hope in older adults.
The nurse is teaching a child care class for mothers of young children. What should the nurse teach as being the most common mode of transmission of infectious disease?
A) Children who are playing board games B) Children who are sitting together eating meals C) Children who are playing with the same toy D) Children who don't wash their hands after using the bathroom
The nurse must insert a nasogastric (NG) tube into a patient with a bowel obstruction. Before inserting the tube, the nurse must explain the procedure to the patient. Which explanation by the nurse is best, assuming that all provide correct information?
1) "I'm going to insert an NG tube and connect it to low Gomco to keep your stomach empty." 2) "I'm going to insert a tube through your nose into your stomach to prevent you from vomiting." 3) "I'm going to insert an NG tube through your nares to suction your secretions and prevent emesis." 4) "Hold still, please; I need to elevate the head of the bed and insert this tube."