The nurse is reviewing the laboratory studies of a client and notes a serum sodium value of 168 mEq/L. Expected clinical manifestations this value would include:
1. Oliguria and fever
2. Constipation and decreased blood pressure
3. Muscle tremor and arrhythmias
4. Dizziness and confusion
1
Rationale: Oliguria, fever, thirst, flushed skin and dry sticky mucous membranes are common manifestations of hypernatremia
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A nurse realizes that he believes he is the only one who truly understands a particular client and that
other staff are too critical of the client. The nurse has identified a situation known as a. boundary blurring. b. sexual harassment. c. positive regard. d. egalitarianism.
A client with breast cancer is receiving 5-Fluorouracil (5-FU). Based on knowledge of this medication and its anticipated adverse effects or side effects, which nursing action should the nurse perform?
1. Monitor ECG 2. Assess lung sounds 3. Test stool for occult blood 4. Encourage daily fluid intake of 2–3 liters
Change 75%
a. to a decimal: b. to a fraction: c. and reduce to lowest terms:
Two nurses are discussing the rights of hospitalized psychiatric clients. Which of the following statements is in error?
A) Confidentiality allows for the disclosure of information under specific circumstances. B) If a committed client is also found to be incompetent, he loses his rights under the Patient's Bill of Rights. C) Privileged communication does not apply to medical records, and they can be used in court. D) The hospital is not responsible for the safety of a client's belongings.