Prior to assessing a patient's integumentary status, the nurse notes excessive perspiration. What possible causes should the nurse consider for this finding?
Select all that apply.
1. The patient is hungry.
2. The patient is anxious.
3. The patient is in shock.
4. The patient has a fever.
5. The patient has been exercising
Correct Answer: 2, 3, 4, 5
Excessive perspiration may be associated with anxiety, shock, fever, or increased activity. Excessive perspiration is not associated with hunger.
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When administering intravenous (IV) fluids, the nurse ensures that the IV fluids are infusing as ordered to prevent dehydration in an adult. Dehydration can become lethal if the patient loses:
a. 5% of body fluid. b. 10% of body fluid. c. 15% of body fluid. d. 20% of body fluid.
A child who has been diagnosed with precocious puberty is treated with a gonadotropin-releasing Gn-RH) analog. The nurse will do some teaching with the family and will explain that the initial repose to this analog will be:
a. stimulation of gonadotropin release b. suppression of gonadotropin release c. no change in gonadotropin suppression or release d. total shutdown of gonadotropin release
A community/public health nurse is caring for a family in poverty, who has stated that the nurse's visits cause them increased stress. Which of the following assumptions has the family made about health care providers?
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