A patient is admitted to the emergency department and subsequently diagnosed with food poisoning. The nurse caring for this patient assesses for signs and symptoms of fluid and electrolyte imbalances
What signs and symptoms would this nurse assess for? (Mark all that apply.)
A) Rapid pulse rate
B) Hypothermia
C) Hypotension
D) Bradycardia
E) Delirium
Ans: A, C, E
Feedback: The patient is assessed for signs and symptoms of fluid and electrolyte imbalances, including lethargy, rapid pulse rate, fever, oliguria, anuria, hypotension, and delirium. Weight and serum electrolyte levels are obtained for future comparisons. This makes options B and D incorrect.
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A client is being discharged from the hospital after treatment for a newly diagnosed disease. If the client does not receive education about the condition, what will be the most likely result?
1. no change in chronic condition 2. rehospitalization for the chronic illness 3. self-actualization 4. more questions asked about the illness
The nurse explains to the family of a client with a spinal cord injury that IV methylprednisolone will reduce
a. pain. b. possibility of seizure. c. muscle spasms. d. spinal cord edema.
Zidovudine (Retrovir) has been prescribed to a client with HIV. The client asks why it is given in combination with other medications to treat HIV. What should the nurse include in the teaching session for this client? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. The combination will cure HIV. 2. The combination allows HIV to be attacked by several different mechanisms. 3. Strains of HIV resistant to zidovudine are common. 4. The combination slows the development of resistance. 5. The combination is more cost effective.
A college student who attempted suicide by overdose was hospitalized. When the parents were contacted, they responded, "We should have seen this coming. We did not do enough." The parents' reaction reflects:
a. guilt. b. denial. c. shame. d. rescue feelings.