Which patient being cared for in the emergency department is most at risk for developing hypovolemic shock?
a. A patient admitted with abdominal pain and an elevated white blood cell count
b. A patient with a temperature of 102° F and a general dermal rash
c. A patient with a 2-day history of nausea, vomiting, and diarrhea
d. A patient with slight rectal bleeding from inflamed hemorrhoids
C
Excessive external loss of fluid may occur through the gastrointestinal tract via vomiting and diarrhea, which may lead to hypovolemia. There is no evidence to support significant fluid loss in the remaining patient scenarios.
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The nurse interprets factors affecting the communication style of the obstetric client and her husband as including which characteristics? Standard Text: Select all that apply
1. Gender differences in communication 2. Group communication 3. Developmental stage 4. Professional boundaries 5. Role reversal
When assessing a client who is HIV-positive for symptoms of a Cryptosporidium infection, the nurse would:
1. Ask about symptoms of watery diarrhea, nausea, and vomiting. 2. Check the skin for painful pinkish-blue or reddish-brown macules. 3. Listen for any abnormal lung sounds. 4. Palpate the liver to check for any tenderness or enlargement.
A 4-year-old girl is admitted to outpatient surgery for removal of a cyst on her back. Her mother puts the hospital gown on her, but the child is crying because she wants to leave on her underpants. What is the most appropriate nursing action at this time
a. Allow her to wear her underpants. b. Discuss with her mother why this is important to the child. c. Ask her mother to explain to her why she cannot wear them. d. Explain in a kind, matter-of-fact manner that this is hospital policy.
Which question is most important to ask a patient who is prescribed phenytoin (Dilantin) before?
a. "Do you drink coffee or other caffeinated beverages?" b. "Have you ever had high blood pressure?" c. "How many seizures do you have daily?" d. "What other drugs do you take daily?"