Interventions in managing a client with ascites may include all of the following except:
a. elevate the head of the bed >30-45°.
b. follow a 3000-milligram sodium diet.
c. administer diuretics and analgesics as prescribed.
d. anticipate paracentesis procedure to remove trapped fluid.
b
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A 36-year-old driver was pulled from a car after it collided with a tree and the gas tank exploded. What assessment data suggest the patient suffered tissue damage consistent with a blast injury?
a. Blood pressure 82/60, heart rate 122, respiratory rate 28. b. Crackles (rales) on auscultation of bilateral lung fields. c. Responsive only to painful stimuli. d. Irregular heart rate and rhythm.
The nurse is assessing a patient's ability to walk. Which of the following should be assessed first for this patient?
a. Walking c. Standing b. Sitting d. Turning
A nursing student investigating potential career goals is strongly considering becoming a nurse practitioner (NP). The major focus of the NP is on which of the following?
1. Leadership 2. Physical and psychosocial clinical assessment 3. Independent care of the high-risk pregnant client 4. Tertiary prevention
To respond appropriately to the metabolic state of a client with liver disease, the nurse would:
a. monitor presence of febrile state. b. suggest apple juice in place of apple slices. c. add dry milk powder to cream-based soups and sauces. d. substitute water for beverages that would provide nutrients and kcalories.