What is the greatest risk for J.F. during the process of rehydration, and what would you monitor to detect its development?
What would be an ideal response?
Inability to oxygenate: Increased intravascular volume combined with aortic stenosis and
regurgitation can cause severe HF. Monitor for crackles, dyspnea, cough with frothy sputum,
increased pedal edema, jugular venous distention (JVD), confusion, anxiety, increased drowsiness
and lethargy, increased intensity of murmurs, and new S3/S4 heart sounds. Monitor hourly urine
output. Because of the patient's history of renal failure, the inability to excrete fluids normally will
greatly affect the patient's HF.
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Which of the following groups should be used to determine the community's pregnancy rate?
a. All persons between 15 and 45 years old in the community b. The total population of the community c. The total population of women in the community d. Women between 15 and 45 years old in the community
A middle-aged client tells the nurse that he has delayed ejaculation. Which of the drugs currently
prescribed for the client is most likely to be at fault for this condition? a. Warfarin b. Doxycycline c. Lovastatin d. Fosinopril
A 60-year-old patient in good health has asked the nurse about what steps can be taken to build muscle mass. What information should be provided to the patient?
1. Exercise can slow the loss of muscle mass. 2. Increasing protein and fat intake will increase muscle mass. 3. Muscle mass declines by 40% between the ages of 30 and 70. 4. There is little that can be done to reduce the loss of muscle mass associated with aging.
A mother of a 6-foot, 2-inch, 16-year-old girl who is being treated for hyperpituitarism says, "I can't stand it that my beautiful daughter is a freak." What is the nurse's best response?
a. "Gigantism is treatable." b. "Her height could help her be a basketball star or a model." c. "What is it about her height that makes her a freak?" d. "All parents feel responsible when their children have problems."