Which assessment finding obtained while taking the history of an older client should alert the nurse to the possibility of fluid or electrolyte imbalance?
A. "I am often cold and need to wear a sweater, even when other people are warm."
B. "I seem to urinate more when I drink coffee."
C. "In the summer, I feel thirsty more often."
D. "My rings are tighter this month."
D
A change in ring size over a relatively short period of time may indicate a change in body fluid amount or distribution rather than a change in body fat.
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A nurse working in a health care providers office sees a number of cases of the most common tick-transmitted disease, which is:
a. Rocky Mountain spotted fever (RMSF). b. Lyme disease. c. aspergillosis. d. histoplasmosis.
A client has been prescribed ranitidine (Zantac). The nurse plans to include which information in the teaching plan for this client?
1. You should experience symptom relief in 10 to 15 minutes after taking this drug. 2. Take this medication after your meal. 3. Take this medication first thing in the morning, before breakfast. 4. This drug will not work as well if you continue smoking. 5. If you experience confusion, discontinue the drug and call for an appointment.
The nurse assesses a young teen client. The client states, "I don't care what you say. I want to be just like Mike, the leader of our gang." The nurse understands the defense mechanism being used is:
1. Denial 2. Humor 3. Splitting 4. Identification
The nurse is asking a client about lifestyle patterns and spiritual practices. For which admission document is this information needed?
1. Care plan 2. Health history 3. Demographics 4. Discharge needs