The nurse weighing the edematous patient notes an increase in weight of 4.4 pounds since the day before. The nurse estimates that this weight increase represents a fluid retention volume of:
a. 1 liter.
b. 2 liters.
c. 3 liters.
d. 4 liters.
ANS: B
You might also like to view...
The nurse is caring for a patient who had surgery for gallbladder disease. Which of the following finding should the nurse immediately report to the physician?
A) Decreased breath sounds B) Drainage of bile-colored fluid onto the abdominal dressing C) Rigidity of the abdomen D) Acute pain with movement
The family of a client who has a combined respiratory and metabolic acidosis as a result of bronchitis and diabetic ketoacidosis asks the nurse whether the client's confusion is likely to be permanent. What is the nurse's best response?
A. "It is too early to tell if the ketoacids will be permanently retained." B. "Yes, although her memory will improve with time, some brain cell loss has oc-curred." C. "Probably not. The confusion should clear as soon as her oxygen and electrolyte levels are normal." D. "Probably not. The confusion should clear as soon as her pH and blood glucose levels are normal."
When introducing hospital equipment to a preschooler who seems afraid, the nurse's approach should be based on which principle?
a. The child may think the equipment is alive. b. The child is too young to understand what the equipment does. c. Explaining the equipment will only increase the child's fear. d. One brief explanation is enough to reduce the child's fear.
A boy with a conduct disorder diagnosis would be most likely to have which symptom?
A. Withdrawal B. Ritualistic behavior C. Class bully D. Class clown