Priority Decision: During care of the severely obese patient, what is most important for the nurse to do?
a. Avoid reference to the patient's weight to avoid embarrassing the patient.
b. Emphasize to the patient how important it is to lose weight to maintain health.
c. Plan for necessary modifications in equipment and nursing techniques before initiating care.
d. Recognize that a full assessment of each body system might not be possible because of numerous layers of skinfolds.
Answer: c. Plan for necessary modifications in equipment and nursing techniques before initiating care.
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Which of the following is the most likely disease process if the patient's laboratory results indicate an elevated serum ADH and low serum osmolality with an elevated urine osmolality?
A) Central diabetes insipidus B) SIADH C) Diabetes mellitus D) Myxedema
A postoperative patient is diagnosed with fluid volume overload. Which assessment would the nurse attribute to this diagnosis?
1. The patient has poor skin turgor. 2. The patient has decreased urine output. 3. The patient reports sleeping on two pillows. 4. The patient's laboratory testing reveals concentrated hemoglobin and hematocrit levels.
Passive listening, also called attentive listening, can be useful during a conflict between two nurses about who should take the next admission because
A. It does not require either nurse to really listen to the other. B. Both nurses are equally likely to end up taking the admission. C. It will give both nurses the chance to express their perspective. D. This kind of listening can take place while one of the nurses completes another task.
The nurse is caring for a patient receiving a nitroprusside [Nipride] intravenous infusion. The patient's wife asks why furosemide [Lasix] is being prescribed along with this drug. The nurse's response is based on which concept?
A. Furosemide will help reduce reflex tachycardia. B. Many vasodilators cause retention of sodium and water. C. Thiocyanate may accumulate in patients receiving nitroprusside. D. Vasodilators can cause serious orthostatic hypotension.