A 77-year-old woman is brought to the emergency department by her family after she has had diarrhea for 3 days. The family tells a nurse that she has not been eating or drinking well, but that she has been taking her diuretics for congestive heart failure (CHF). She is receiving lactated Ringer's solution IV for rehydration. What clinical manifestations does the nurse monitor during rehydration of the client? Select all that apply.
A. Blood serum glucose
B. Pulse rate and quality
C. Urinary output
D. Urine specific gravity levels
Answer:
B. Pulse rate and quality
C. Urinary output
D. Urine specific gravity levels
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An older man who is a smoker is hospitalized for orthopedic surgery. A nurse takes the oppor-tunity to provide smoking cessation education. The patient asks the nurse: "I have been smoking for most of my life, and I am an old man
Why are you wasting your time telling me to stop smoking? Isn't it too late?" The nurse bases the response on the knowledge that: a. smoking cessation as late as age 75 can reduce premature death by up to 50%. b. smoking cessation as late as age 75 can completely eliminate premature death. c. smoking cessation at a late age will not impact the smoker but can reduce expo-sure of family members to second-hand smoke. d. smoking cessation education is only effec-tive in individuals under age 75.
A nurse working in critical care would plan interactions with clients' families based on the understanding that families most need
a. knowledge. b. respect. c. sleep. d. spiritual support.
A patient is started on Byetta, one of the new antidiabetic agents. The patient asks how this medication will help lower blood sugar. Which of the following is the nurse's response?
A. it takes the place of insulin B. it restores insulin secretion C. it is taken with insulin to make it last D. it decreases the thirst for water
An older male presents with flank pain and polyuria. Tests reveal that he has an enlarged pros-tate. Which type of renal failure is this patient at risk for?
a. Prerenal b. Intrarenal c. Extrarenal d. Postrenal