In an assessment of a patient who has been receiving intravenous (IV) fluids for the past 6 hours, a nurse finds that the pulse is now bounding, the blood pressure is more than 15 mm Hg higher than the last reading, and pedal edema has developed

What should the nurse suspect? a. Infiltration of the IV site
b. Vascular fluid volume excess
c. Pulmonary air embolism
d. Phlebitis of the leg veins


B
Excess fluid volume accounts for the changes in the vital signs.

Nursing

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The most appropriate nursing diagnosis for a client with postpartum deep vein thrombosis is:

1. Fluid Volume excess related to tissue edema. 2. Sleep Pattern disturbance related to tissue hypoxia. 3. Infection, risk for related to obstructed venous return. 4. Tissue perfusion, altered related to obstructed venous return.

Nursing

What reviews are included when evaluating the integrity of a hospital information system?

1. Confidence, competence, and compassion 2. Ethics, confidentiality, and caring processes 3. Empirical data, personal data, and esthetic data 4. Prizing, valuing, and choosing

Nursing

Values ____

a. Are beliefs that guide decision making b. Describe a futuristic state c. Are sustained by imagery and stories d. Are things that are evolving constantly

Nursing

A client complains of foot pain while ambulating in his shoes. The nurse assesses the client's feet and determines they are flat. The nurse should

A) Call the client's physician and report the pain B) Inform the client to walk barefoot while in the home C) Instruct the client to have his feet measured to determine size D) Instruct the client to make an appointment with a podiatrist

Nursing