While assessing the fluid and electrolyte status of a high-acuity patient, the nurse determines the presence of edema. This information was found during which of the following components of the assessment?
1. history
2. vital signs
3. hemodynamic monitoring
4. physical
4
Rationale: The presence of edema would be determined during the physical assessment of the patient. The history would focus on four specific questions which might impact the patient's fluid and electrolyte balance. The vital signs would focus on the patient's temperature, pulse, respirations, and blood pressure. Hemodynamic monitoring would be conducted by specific monitoring devices.
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The nurse reminds a group of high school students that although gay men are stereotyped as HIV victims, the disease is also seen in (select all that apply):
1. health care workers who mishandle infected sharps. 2. breast-fed infants of HIV-infected mothers. 3. persons sharing living quarters with an HIV-infected person. 4. heterosexual partners of an HIV-infected person. 5. newborns of an HIV-infected mother.
The nurse is instructing a patient recovering from a liver transplant. What should the nurse include in this teaching?
1. Eat a high-protein diet. 2. Reduce scheduled antirejection drugs to every other day if nausea occurs. 3. Take acetaminophen (Tylenol) if fever develops. 4. Report sore throats to the healthcare provider.
An older woman has just had surgery to repair a fractured hip. Identify the care settings, ordering from least to most client autonomy, that the woman may encounter
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