When administering intravenous (IV) fluids, the nurse ensures that the IV fluids are infusing as ordered to prevent dehydration in an adult. When could dehydration become lethal?
a. If the patient loses 5% of body fluid
b. If the patient loses 10% of body fluid
c. If the patient loses 15% of body fluid
d. If the patient loses 20% of body fluid
ANS: D
A loss of 20% of body fluid in an adult is fatal.
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The nursing student is giving a bath to a client on the first clinical day. The physician arrives and removes a wound dressing, and tells the student to redress the wound. Which of the following actions should the student take?
1. Tell the doctor that wound dressings have not been covered in class yet. 2. Cover the wound with gauze. 3. Perform the dressing change. 4. Seek assistance from the instructor or nurse assigned to the client.
A nurse documents and reports the presence of foul, bulky stool in a patient with cystic fibrosis (CF). What does this finding indicate about the patient?
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Which personal factor places a client at risk for bladder cancer?
a. Working in a lumber yard for 10 years b. 50-pack-year cigarette smoking history c. Numerous episodes of bacterial cystitis d. History of sexually transmitted diseases
While interviewing a 70-year-old client, the nurse observes that the client does not have adequate control over her speech because of muscle weakness. The nurse would suspect which of the following as the cause?
A) Broca's expressive aphasia B) Dysarthria C) Wernicke's aphasia D) Speech apraxia