The nurse gathers the following data:
BP = 150/94 mm Hg; neck veins distended; P = 104 beats/min; pulse bounding; respiratory rate = 20 breaths/min; T = 37?C (98.6?F). What disorder should the nurse suspect?
a. Hypovolemia
b. Hypercalcemia
c. Hyperkalemia
d. Hypervolemia
D
Hypervolemia results from retention of sodium and water. Blood pressure rises, the pulse is bounding, and neck veins become distended owing to increased intravascular volume.
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A 67-year-old male patient of French heritage is admitted to the hospital. The patient is interviewed by a nurse from a Korean family. The nurse did not make eye contact with the pa-tient while conducting the interview
This disturbed the patient because the patient thought that the nurse might be trying to hide something. Which factor most likely influenced the behavior of the nurse and patient? a. Culture b. Validation c. Collaborative problem d. Defining characteristics
Over the past 2 decades, there has been a trend toward:
a. increased osteoporosis. b. preservation of height. c. obesity in older adults. d. preservation of muscle mass.
Which of the following is a good subjective question to ask a client with delirium?
a. "What is the date?" c. "Are you feeling restless or agitated?" b. "Where are we now?" d. ""What is the time?"
________ are considered to be ulcerogenic because they inhibit the secretion of protective mucus and interfere with the normal production of the mucosal lining.
A. Antacids B. Antihistamines C. Steroids D. Adrenergic drugs