A nurse is caring for four clients who are at risk for or who have an actual fluid volume deficit. Which client should the nurse assess first? The nurse should first assess the client who
a. is confused and spits out oral foods/fluids.
b. is on a tube-feeding running at 85 ml/hour.
c. was admitted with polyuria.
d. has diarrhea and now is restless.
D
Cellular dehydration can cause neurologic manifestations such as restlessness and apprehension. Neurologic manifestations are always considered serious because coma and even death can result. The nurse should see the client in option d first. Options a and b describe clients who are defi-nitely at risk for dehydration. Option c describes a client who could be at risk for dehydration or who may already be dehydrated, depending on how long the polyuria has been occurring and whether or not the client is already on IV fluids.
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A nurse is responsible for teaching new parents about the hygienic care of their newborn. The nurse should tell the parents to
a. Avoid washing the head for at least 1 week to prevent heat loss. b. Sponge bathe only until the cord has fallen off. c. Cleanse the ears and nose with cotton-tipped swabs, such as Q-tips. d. Water temperature should be at least 38° C.
When planning care for a Latino American client, the nurse should be aware of which cultural influence that may impact access to health care?
A. The root doctor may be the first contact made when illness is encountered. B. The "yin" and "yang" practitioner may be the first contact made when illness is encountered. C. The shaman may be the first contact made when illness is encountered. D. The curandero may be the first contact made when illness is encountered.
A nurse considers how the environment outside of the family influences the development of a child when planning care for a family. Which of the following theories is being used by the nurse?
a. Bioecological systems theory b. Family systems approach c. Family developmental theory d. Interactionist theory
A variety of rates can be calculated according to need, including incidence, prevalence, adjusted, and specific rates
What is the name of the rate represented when detailed rates are calculated using the number of people in the smaller subgroups of the population in the denominator? A) Adjusted B) Incidence C) Prevalence D) Specific