The nurse has completed a head-to-toe assessment of a patient who was admitted for the treatment of heart failure (HF). Which of the following assessment findings should signal to the nurse a possible exacerbation of the patient's condition?
A) Crackles are audible on chest auscultation.
B) The patient's blood pressure (BP) is 144/99.
C) The patient has put out 600 mL of dilute urine over the past 8 hours.
D) Blood glucose testing reveals a glucose level of 158 mg/dL.
A
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A school nurse is teaching a 14-year-old girl of normal weight some of the key factors necessary to maintain good nutrition in this stage of her growth and development. What interventions should the nurse most likely prioritize?
A) Decreasing her calorie intake and encouraging her to maintain her weight to avoid obesity B) Increasing her BMI, taking a multivitamin, and discussing body image C) Increasing calcium intake, eating a balanced diet, and discussing eating disorders D) Obtaining a food diary along with providing close monitoring for anorexia
A teenage girl has been placed in a body cast for the treatment of scoliosis, the most common skeletal deformity of adolescence. When the family asks what they can do to be more supportive, the nurse suggests:
a. enrolling her in a health club. b. taking her to the mall in a wheelchair. c. purchasing clothes to disguise the cast. d. spending a majority of their time with her.
The nurse is planning care for the client who has been admitted with metabolic alkalosis. Which are appropriate nursing diagnoses for this client during the acute phase of the illness?
Select all that apply. A) Ineffective Health Maintenance B) Risk for Hypothermia C) Deficient Fluid Volume D) Risk for Impaired Gas Exchange E) Risk for Injury
The nurse is assessing a patient diagnosed with Graves' disease. What physical characteristics of Graves' would the nurse expect to find?
A) Hair loss B) Moon face C) Bulging eyes D) Fatigue