A nurse is caring for a client with cirrhosis. The nurse notes that the client is dyspneic, and crackles are heard on the auscultation of the lungs. The nurse suspects fluid volume excess secondary to congestive heart failure (CHF)
What additional signs would the nurse expect to see if the cardiovascular system is being affected? a. flat hand and neck veins c. an increase in blood pressure
b. a weak and thready pulse d. an increased urine output
C
Findings associated with fluid volume excess associated with congestive heart failure include cough, dyspnea, crackles, tachypnea, tachycardia, elevated blood pressure and a bounding pulse, and an elevated central venous pressure. In addition, the client would exhibit weight gain, edema, neck and hand vein distention, altered level of consciousness, and a decreased hematocrit.
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The lymph system consists of:
a. lymph vessels and organs c. lymph vessels and ducts b. lymph vessels and nodes d. lymph vessels, nodes and organs
Hyperglycemia may be caused by:
1. Too much insulin 2. Infection 3. Eating less food than usual 4. More exercise than usual
A nurse is trying to ensure a student nurse's understanding of drug interactions with receptor binding. Which statement made by the student indicates a need for further teaching?
a. Drugs can bind to receptors and cause activation. b. Drugs can bind to receptors and block receptor activation by other agents. c. Drugs can bind receptor components and enhance receptor activation by the natural transmitter at the site. d. Drugs bind to receptors and thereby alter a cell's function.
What does the nurse say to obtain more data about a patient's vague statement about diet such as, "My diet's okay"?
a. "Eating a variety of meats, fruits, and vegetables each day is important." b. "Give me an example of the foods you eat in a typical day." c. "Go on." d. "Does your diet meet your needs or does it need improvement?"