What intervention is most important to teach the client about identifying the onset of dehydra-tion?
a. Measuring abdominal girth
b. Converting ounces to milliliters
c. Obtaining and charting daily weight
d. Selecting food items with high water con-tent
C
Because 1 L of water weighs 1 kg, change in body weight is a good measure of excess fluid loss or fluid retention. Obtaining and charting accurate daily weights is the most sensitive and cost-effective way of monitoring fluid balance in the home. The other options would not be use-ful for early detection of dehydration.
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A nurse is caring for a client on mechanical ventilation and finds the client agitated and thrashing about. What action by the nurse is most appropriate?
a. Assess the cause of the agitation. b. Reassure the client that he or she is safe. c. Restrain the client's hands. d. Sedate the client immediately.
Which of the following women is most likely to have a sexually transmitted infection as a contributing factor to her health problem?
A) A 29-year-old woman with a diagnosis of localized vulvodynia B) A 40-year-old who is being treated for vaginal cancer C) A 32-year-old who is undergoing diagnostics to rule out endometriosis D) A 41-year-old with a diagnosis of mucopurulent cervicitis
Which of the following best describes Peplau's theory on therapeutic use of self?
a. Putting patients' needs ahead of your own b. Providing excellent clinical skills to improve patients' health status c. Using excellent interpersonal skills to help patients improve their health status d. Self-protection through avoidance of a relationship with the patient
The adolescent is supposed to go to the school nurse at 12:00 to receive his medication for attention-deficit/ hyperactivity disorder (ADHD). He often does not go for the medication. What best describes the nurse's understanding of this situation?
A. The adolescent is embarrassed in front of his peers. B. The adolescent does not understand the need for the medication. C. The adolescent forgets that he is supposed to take the medication. D. The adolescent has made a conscious decision not to take the medication.