While assessing a patient with heart failure and renal impairment, the nurse notices 3+ pitting edema in his feet, a bounding pulse, and severe shortness of breath. This patient probably experiencing which of the following:
A) Hypokalemia.
B) Hyperkalemia.
C) Fluid volume deficit.
D) Fluid volume excess.
Answer: D) Fluid volume excess
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A patient is complaining of a burning and gritty sensation in the eyes, with redness, itching, and crusting on the eyelids. Which question is most likely to assist in identifying the aggravating factors related to the patient's complaints?
a. "Do eyedrops help relieve your symptoms?" b. "Do you wear eye makeup?" c. "Do you notice a change between outdoors and indoors?" d. "Have you noticed any change in your visual acuity?"
While caring for a labor client, you notice during a vaginal exam that the baby's head has rotated internally. What would you expect the next set of cardinal movements for a baby in a vertex presentation to be?
1. Flexion, extension, restitution, external rotation, expulsion 2. Expulsion, external rotation, restitution 3. Restitution, flexion, external rotation, expulsion 4. Extension, restitution, external rotation, expulsion
The nurse explaining the pieces of a tracheostomy to a client would note that the portion of the tracheostomy apparatus used to round the end of the tube for insertion is the
a. flange. b. inner cannula. c. obturator. d. pilot tube.
Which statements from a high school teacher indicates that the individual has a good understanding of the topic of community violence? Select all that apply
A) "There is an increase of violence among girls." B) "The environment contributes significantly to violent behaviors in young individuals." C) "There is some systematic 'hurting' of boys in mainstream culture that contributes to acts of violence." D) "Boys are 'naturally' violent." E) "Girls are 'naturally' violent."