Which nursing intervention is most appropriate when caring for a patient with dehydration?
A. Auscultate lung sounds every 2 hours.
B. Monitor daily weight and intake and output.
C. Monitor diastolic blood pressure for increases.
D. Encourage the patient to reduce sodium intake.
Ans: B. Monitor daily weight and intake and output.
You might also like to view...
Unbeknownst to her or her care team, a 51-year-old woman's breast cancer has an etiology rooted in the fact that tumor-suppressing genes are present but have been silenced
Consequently, she has not synthesized normal cancer-suppressing proteins, and neoplasia has resulted. What process has accounted for the woman's cancer? A) Chromosomal translocation B) The "two-hit" hypothesis of carcinogenesis C) Epigenetic mechanisms D) A DNA repair defect
A troponin level is a laboratory test performed to determine how well the cells, tissues, and organs are supplied with oxygen
Indicate whether this statement is true or false.
A nurse is completing a community assessment. Which of the following actions would be most likely for the nurse to complete?
a. Identify community needs and clarify problems b. Determine the weaknesses of a community c. Perform the core functions of public health nursing d. Assess individual needs within a commu-nity
A pregnant patient in early labor is showing signs of extreme anxiety over the birth to come. Why should the nurse help this patient relax?
A) Anxiety increases the blood pressure and increase the risk of having an epidural B) The nurse needs to establish control so the patient will trust the nurse C) Anxiety can slow down the labor process and decrease the amount of oxygen reaching the uterus and the fetus D) To encourage sleep so that the patient has energy for the later stages of labor