The nurse gathers the following data: BP = 150/94; neck veins distended; P = 104; pulse bounding; respiratory rate = 20; T = 37°C (98.6°F). What disorder should the nurse suspect?
1) Hypovolemia
2) Hypercalcemia
3) Hyperkalemia
4) Hypervolemia
ANS: 4
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A female client complains of having a "strange discharge" from the vagina and "stinging" when voiding urine. Which diagnostic test(s) would be useful to aid in the diagnosis of this client's disorder?
Select all that apply. A) Biopsy B) Urinalysis C) Complete blood count D) Serum hormone levels E) Papanicolaou smear
Which dietary guideline would be the most important for the nurse to instruct a patient with diabetes mellitus?
1. Include foods rich in calcium at every meal. 2. Eliminate as much fat from the diet as possible. 3. Eat at regular times including meals and snacks. 4. Ingest the majority of daily caloric intake in the morning meal.
A client wants to know what why it is good to include starches in the diet. The nurse responds that starches:
1. Are good only when consumed in moderation. 2. Make you feel full faster. 3. Are stored in the liver and can be used for energy. 4. Provide the quickest form of energy
The main complication of neonatal jaundice is:
1. Lack of voiding and stooling. 2. Bilirubin encephalopathy. 3. The need to immediately stop breastfeeding. 4. Increased risk of infection.