The nurse is caring for a patient with edema who has just begun taking a diuretic. What will the nurse use to evaluate the effectiveness of this medication? (Select all that apply.)
A) Daily weight
B) Decrease in edema
C) Increase in blood pressure
D) Increase in urinary output
E) Increase in pulse
A, B, D
Feedback:
Responsiveness to the use of a diuretic can be measured by daily weights, increased urinary output, decrease in edema, decrease in blood pressure and pulse rate. Options C and E are not correct.
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A factory abruptly closes. An office worker initially tries to take it in stride, begins the job search, and networks with peers. Five weeks later, he has not received a single call-back from a prospective employer
He cannot sleep, is irritable, does not want to interact with his family or peers, paces, and spends several hours most days alone in a local bar. He has given up applying for jobs. Which three nursing diagnoses would be the highest priority at this time? Select all that apply. a. Risk for self-injury b. Risk for compromised resilience c. Ineffective denial d. Ineffective coping e. Chronic low self-esteem f. Social isolation
You are caring for a patient in the emergency department who is waiting to have a CT scan because of a possible obstruction of the intestinal tract
You draw blood to send to the lab and the patient asks you why you are drawing this blood. What would be your best response? A) "One thing the physicians are looking at is what your level of CA 19-9 is. If the levels are high, it can indicate one of several diseases that might cause your bowel obstruction." B) "The physicians are checking the levels of a tumor marker in your blood." C) "You don't need to worry about that right now." D) "The doctor wants to know if you have pancreatitis."
A nurse is lecturing to a church group about domestic violence. During the presentation, a member of the audience asks the nurse to explain what intergenerational transmission of violence means because he has seen that phrase used in the media
The nurse's best response to this question would be that intergenerational transmission of violence refers to the fact that: A) "People who are violent are that way because of neurochemical imbalances in their brains." B) "People who grow up in violent home situations tend to be involved in domestic violence situations as an adult." C) "Recent research has identified a gene that is responsible for transmission of a risk for violent behavior that is passed on from generation to generation." D) "Domestic violence seems to skip every other generation when it is traced in families."
How long would it be before Mrs. S would start to eat again and what progression from TF to po feedings would you recommend?