A nurse understands that fluid balance is mainly monitored in the body by which two systems?
a. Circulatory and renal
b. Respiratory and circulatory
c. Renal and gastrointestinal
d. Hepatic and lymphatic
A
The monitoring of basic fluid balance in the body is performed by the renal and circulatory sys-tems.
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The nursing assistants who work the day shift have requested that they be assigned the same group of residents every day that they work. Which of the following is a negative aspect of this proposal?
a. Potential for residents to have increased interpersonal bonding with a nursing assistant b. Potential for residents to become accustomed to a certain routine c. Potential for residents to develop a sense of being part of the team that plans their indi-vidual care d. Potential for a demanding resident to "burn out" a nursing assistant who is routinely assigned to care for him or her
A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds and notes the presence of visible peristaltic waves. Which action should the nurse take?
a. Ask if the client is experiencing pain in the right shoulder. b. Perform a rectal examination and assess for polyps. c. Contact the provider and recommend computed tomography. d. Administer a laxative to increase bowel movement activity.
The nurse finds an adolescent with Hodgkin's disease crying. The adolescent says, "I am so scared." What is the most appropriate nursing response to this comment?
a. "I understand how you must feel." b. "You shouldn't feel that way." c. "Is this the strongest feeling you've had today?" d. "Tell me what's got you scared."
The nurse caring for a patient with hypertrophic cardiomyopathy knows that which of the following medication classifications should be avoided?
A) Antihypertensives B) Potassium supplements C) Diuretics D) Antiarrhythmics