Which does the nurse include in the plan of care for a client with fluid volume deficit?
1. Has skin tenting over sternum in 24 hours
2. Mucous membranes dry out within 8 hours
3. Urine specific gravity increases in 12 hours
4. BUN decreases to normal levels in 24 hours
4
4. Fluid volume deficit concentrates the blood providing false-high serum values. After administering fluid to the client, the blood becomes more dilute to reflect nor-mal serum values.
1, 2, and 3. Skin tenting, dry mucous membranes, and high urine specific gravity in-dicates dehydration and fluid volume deficit.
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A patient with a long history of pain rarely appears to be in pain and often forgoes the use of pain medication. What does the nurse realize about this patient?
1. The patient has a high pain tolerance. 2. The patient has a low pain tolerance. 3. The patient is addicted to pain medication. 4. The patient does not really have pain.
Angela is a black woman who has heard that women of African descent do not need to worry about osteoporosis. What education would you provide Angela about her risk?
1. She is correct, black women do not have much risk of developing osteoporosis due to their dark skin. 2. Black women are at risk of developing osteoporosis due to their lower calcium intake as a group. 3. If she doesn't drink alcohol, her risk of developing osteoporosis is low. 4. If she has not lost more than 10% of her weight lately, her risk is low.
You are working as a psychiatric nurse in a Veteran's Administration Medical Center. You are meeting with a military wife who is an Asian American prior to her joining a support group for wives of veterans who have Post Traumatic Stress Syndrome
When you ask her to describe her husband's mental health problems, which of the following answers might you anticipate getting? A) "Oh, he may seem depressed, but it is just a vitamin deficiency. It runs in his family." B) "I know the war messed his mind up. He'll never be the same." C) "Sometimes he hallucinates that he is back in Vietnam." D) "He just stays to himself; he never talks to me about what is bothering him."
The student nurse understands that when the ventricles are depolarizing, which action is taking place? (Select all that apply)
a. The atria are contracting and pumping blood to the ventricles b. The ventricles are pumping blood to the body c. The ventricles are resting d. The atria are resting and receiving blood from the ventricles e. The ventricles are pumping blood to the lungs