A nurse assesses a client who is admitted for treatment of fluid overload. Which manifestations should the nurse expect to find? (Select all that apply.)
a. Increased pulse rate
b. Distended neck veins
c. Decreased blood pressure
d. Warm and pink skin
e. Skeletal muscle weakness
ANS: A, B, E
Manifestations of fluid overload include increased pulse rate, distended neck veins, increased blood pressure, pale and cool skin, and skeletal muscle weakness.
You might also like to view...
The nurse practitioner desires to provide health care to American Indians. In what part of the United States would the nurse find the largest concentration of American Indians to provide care?
A. West B. North C. South D. East
An adult client is taking diphenhydramine for manifestations of allergic rhinitis. For which of the following adverse reactions should the nurse instruct the client to watch?
A. Dry mouth B. Nonproductive cough C. Skin rash D. Diarrhea E. Urinary hesitation
Which of the following scales is most sensitive to differences between ratings?
a. A visual analogue scale b. 0- to 10-numerical rating scale c. Five-item verbal descriptor scale d. Seven-item Likert scale
When used as hypnotics, some barbiturates lose their effectiveness after ____ of regular use
a. two weeks c. three days b. three months d. six months