The nurse admits the client with fluid volume excess. Which clinical indicator of the client demonstrates that the nursing plan restored fluid balance?
1. Urine specific gravity is 1.100.
2. Hematocrit of whole blood is 45%.
3. Weight increased by 4% overnight.
4. Intake 4500 ml and output 2000 ml.
2
2. A hematocrit within normal limits is consistent for a client without recent blood loss, but with adequate nutrition, and fluid balance because the hematocrit is neither low, indicating the blood is diluted by excessive fluid, nor high, indicating the client is dehydrated.
1. A specific gravity of 1.100 is very concentrated and is consistent with clinical in-dicators for fluid volume deficit.
3 and 4. Intake that exceeds the output by as much as 3 liters and significant weight gain (usually greater than 2 pounds) in 24 hours is consistent with fluid volume excess.
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The informatics nurse is invited to attend a leadership meeting to discuss an upgrade to the current health information system. Which should the nurse keep in mind during this meeting?
A) Altering the mission of the organization B) Representing the staff of the patient care areas C) Using as much of the current system as possible D) Ensuring the organization's place in the industry
During the palpation of a patient's chest for expansion, the nurse notices a decrease in expansion of the right side. This finding is consistent with what health problems?
Select all that apply. 1. emphysema 2. pneumonia 3. pleural effusion 4. heart failure 5. pneumothorax
Alternative therapy refers to
a. any natural therapy without a research basis. b. evidence-based pharmacologic use of plant products. c. therapies used in conjunction with Western medicine. d. therapies not generally accepted by Western medicine.
Which of the following is not an ethical guideline for research?
a. Participants' welfare and rights take precedence over everything else. b. Any information arising from the participation is to be kept confidential. c. Once participants have agreed to be part of the research, they cannot change their mind and withdraw. d. Participants have the right to be clearly and adequately informed about the purpose of the study and its likely benefits.