In the first 3 days after surgery, the nurse would anticipate the fluid and electrolyte adjustment of
a. elevated hematocrit level.
b. fluid retention.
c. increase in serum potassium level.
d. increased urine output.
B
The stress response to surgery stimulates the secretion of antidiuretic hormone (ADH) and al-dosterone, which cause fluid retention.
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The home care nurse is planning to begin breathing retraining exercises with a client newly admitted to the home health service. The home care nurse knows that breathing retraining is especially indicated if the patient has what diagnosis?
A) Asthma B) Pneumonia C) Lung cancer D) COPD
The nurse is pouring a sterile solution from a bottle. What direction should the label on the bottle be in for appropriate technique?
a. Facing outward b. Covered c. Facing downward d. In the palm of the hand
A 50-year-old man calls the clinic nurse and complains of gastrointestinal upset after taking nitrofurantoin (Furadantin) on an empty stomach. What recommendation should the nurse make?
A) Stopping the medication B) Taking vitamin C along with the medication C) Taking the medicine with or after meals D) Continuing to take the medicine on an empty stomach
An adult client is lying on the floor unresponsive. The nurse should initially:
1. start CPR. 2. notify emergency medical system. 3. assess for respirations. 4. give two slow, full breaths.