The nurse clarifies that fluid balance is mainly monitored in the body by two systems, which are the:
1. circulatory and renal.
2. respiratory and circulatory.
3. renal and gastrointestinal.
4. hepatic and lymphatic.
1
The monitoring of basic fluid balance in the body is done by the renal and circulatory sys-tems.
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The standards of nursing care that are published by various organizations are often used
A) to determine the amount of salary increase due a nurse. B) to describe the profession. C) in nursing malpractice cases. D) by employing agencies when deciding who to hire.
Following several months of increasing dyspnea on exertion, a 71-year-old woman has been diagnosed with mitral stenosis (MS)
The woman is relieved to receive a diagnosis that explains her symptoms but does not completely understand the root of her problem. How can the nurse best explain the woman's health problem? A) "The valve in the left side of your heart has become stiff and narrowed, so your heart can't fill with all the blood that your body needs." B) "The left side of your heart is having trouble overcoming the resistance in your blood vessels because a valve is not sealing." C) "When your heart beats, some of the blood that should go to your body is backing up into your heart because the valve leaks." D) "The valve between your lungs and your heart has become inelastic, so your heart can't fill up with enough blood."
Which of the following examples illustrates the nurse's failure to use flexibility effectively in professional communication?
a. Asking on the admission assessment, "You don't smoke, do you?" b. When updating a family member on a patient's condition stating, "Your wife's ABG report indicates significant hypoxia." c. Continuing to follow the agenda in a staff meeting when people are obviously upset by a recent death on the unit d. Requiring nurses to read back phone orders to physicians
According to the care plan, a client is to receive chest physiotherapy twice daily. The client lives alone in a rural area, does not drive, and is 40 miles away from a hospital. What should the home care nurse do when setting priorities for this client?
1. Make sure that he or she is able to get to the client's home. 2. Assist the client in finding an alternative plan for the achieving the therapy's outcomes. 3. Tell the client that this therapy will be impossible to receive. 4. Make arrangements to have the client moved to a long-term care facility.