The nurse monitors the client in labor for signs and symptoms of water intoxication. Which finding indicates that this may be occurring?
a. Hypotension
b. Rales and wheezes
c. Slow shallow breathing
d. Tachycardia
ANS: B
Signs and symptoms of water intoxication include headache, blurred vision, behavioral changes, increased blood pressure and respirations, decreased pulse rate, rales, wheezing, and coughing.
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1. "I drink alcohol only on special occasions and then moderately." 2. "I run at least three times a week; it seems to help me stay relaxed." 3. "I watch for the signs of depression since my mother experienced it." 4. "I know stress can affect my blood pressure, so I have it taken regularly."
A client was admitted to the psychiatric unit with major depression after a suicide attempt. In addition to the client's feelings of sadness and hopelessness, the nurse assessed which of the following somatic or physiologic symptoms of depression?
A) Anxiety, unconscious anger, and hostility B) Guilt, indecisiveness, and poor self-concept C) Psychomotor retardation and agitation D) Meticulous attention to grooming and hygiene