An older adult patient is assessed by the nurse as showing signs of fluid volume excess, which are:

1. redness, warmth, and drainage of fluid at the IV site.
2. redness, warmth, and tenderness at the IV site.
3. complaints of shortness of breath and pounding pulse.
4. puffiness of face, dyspnea, and pain at the IV site.


3
Fluid volume excess in the circulating volume can overload the heart's ability to handle the excess blood. The excess fluid can leak into the pulmonary tree, causing shortness of breath and rales.

Nursing

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The patient had told her mother of the uncle's behavior, but the mother accused the daughter of lying and, contrary to the patient's hopes, indicated she would still allow the uncle to visit the family. The patient describes feeling "all confused" and shows minor lacerations on her forearms to the nurse, which she indicates she did out of desperation rather than a wish to die. Which nursing diagnosis would be most appropriate as her primary diagnosis? a. Powerlessness b. Disturbed thought processes c. Rape-trauma syndrome d. Interrupted family process

Nursing

The nurse wishes to study the opinions of high school students concerning the availability of health care services at XYZ High School during the past school year. What research design best fits with the study objective?

A) Trend study B) Cross-sectional study C) Longitudinal study D) Follow-up study

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The type of study to help determine the actual cost of a program is a

1. Cost-accounting study 2. Cost-benefit study 3. Cost-effectiveness study 4. Cost-efficiency study

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A 35-year-old female comes to the clinic for her annual physical. Upon examination, the nurse palpates a lump in the left breast

She informs the client of the finding and the client responds, "Yes, I found it a few months ago too but just didn't want to think about it." The nurse recognizes that this client has been using which approach to coping with the lump? a. Altering b. Adapting c. Changing d. Avoiding

Nursing