The nurse is caring for an 80-year-old client with the medical diagnosis of heart failure. The client has edema, orthopnea, and confusion. Which nursing diagnosis is most appropriate for this client?
A)
Heart Failure related to edema, as evidenced by confusion
B)
Excess Fluid Volume related to retention of fluids as evidenced by edema and orthopnea
C)
Fluid Volume Deficit related to loss of fluids as evidenced by edema
D)
Excess Fluid Volume related to congestive heart failure as evidenced by edema and confusion
B
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A group of nursing students are reviewing the different types of anesthesia. The students demonstrate understanding of the information when they identify which of the following as a type of local anesthesia? Select all that apply
A) Topical anesthesia B) General anesthesia C) Local infiltration anesthesia D) Regional anesthesia E) Spinal anesthesia
The nurse should notify the primary health care provider when which of the following occur while a client is receiving an antihypertensive? Select all that apply
A) Weight gain of 2 lb or more per day B) Headache C) Edema D) Insomnia E) Sedation
The laboratory testing of a client who is having approximately 20 foul-smelling stools per day reveals the presence of WBCs and RBCs in the stool. What organism is the most likely cause of this client's gastroenteritis?
A. Escherichia coli B. Staphylococcus aureus C. Shigella D. Campylobacter
An instructor explains that the alveoli are air sacs encircled by tiny capillaries and that oxygen moves via diffusion from an area of higher concentration to an area of lower concentration. A student identifies this process as
1. Internal respiration. 2. External respiration. 3. Inspiration. 4. Excursion.