The set of findings that best indicate that the patient with intestinal obstruction has achieved normal hydration is:

1. pulse and blood pressure within patient's norms, moist mucous membranes, equal fluid intake and output.
2. strong pulse rate of at least 60, normal bowel sounds, respiratory rate of 16.
3. blood pressure within patient's norms, temperature below normal, adequate tissue turgor.
4. moist mucous membranes, 24-hour fluid intake higher than the 24-hour output, elevated pulse rate.


1
These are all indications of fluid balance.

Nursing

You might also like to view...

When a patient suddenly experiences respiratory difficulty in the cafeteria, the nurse begins assessment for foreign body airway obstruction. What is the most appropriate question to ask the victim?

a. "What did you swallow?" b. "Are you choking?" c. "Are you OK?" d. "Can I help you?"

Nursing

Facilitators of a critical incident stress debriefing are instructing the nurses on ways to cope with the stress created by providing disaster care. The nurses are participating in which phase of the debriefing session?

1. Reaction 2. Reentry 3. Fact 4. Teaching

Nursing

Select the best description of therapeutic use of self to provide to a new psychiatric nurse

a. "Most nurses have caring personalities that equip them to be helpful to patients." b. "It's mostly about using good verbal and nonverbal communication, objectivity, genuineness, and empathy." c. "It means that you keep yourself at a distance so you are not affected by patients' problems and emotions." d. "The most important aspect of practice is when and how much to touch, as well as when to listen and give advice."

Nursing

The nurse has instructed a client recovering from a pulmonary embolism on long-term anticoagulant therapy. Which of the following would indicate that instruction has been effective?

1. The client states the need to eat a well-balanced diet with green salads. 2. The client states the need to use a soft toothbrush, electric razor, and avoid injuries. 3. The client states that bruising is normal. 4. The client states that minor bloody sputum is to be expected.

Nursing