The nurse notes that a client with renal disease has a plasma osmolality of 200 mOsm/kg and a plasma sodium level of 122 mEq/L. The nurse would further assess the client for other manife-stations of
a. extracellular fluid volume excess.
b. hyperosmolar fluid volume deficit.
c. intracellular fluid volume excess.
d. iso-osmolar fluid volume deficit.
A
Causes for ECFVE include renal and heart failure, cirrhosis of the liver, and increased ingestion of high-sodium foods. The plasma osmolality and serum sodium levels are low, indicating over-hydration. The extra fluid is either in the vascular space (hypervolemia) or in the interstitial spaces (third-spacing).
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The nurse who is part of a team focused on restoring an individual to the fullest physical, mental, social, vocational, and economic capacity is practicing:
a. holistic nursing. b. conscientious nursing. c. rehabilitation nursing. d. comprehensive nursing.
In planning for a repeat cesarean birth for a woman who previously has given birth by cesarean, the nurse would include which piece of information?
a. "Because this is a repeat procedure, you are at the lowest risk for complications." b. "You will not need preoperative teaching because this is your second cesarean birth." c. "Even though this is your second cesarean birth, you may wish to review the preoperative and postoperative procedures." d. "Because this is your second cesarean birth, you will recover faster."
The woman's health clinic nurse is providing information to a 21-year-old woman who is being scheduled for a pelvic exam and Pap test. This information should include (select all that apply):
a. The Pap test is a diagnostic test for cervical cancer. b. The woman should not use tampons or vaginal medication or engage in sexual intercourse within 48 hours of the exam. c. The best time to have a Pap test is 5 days after the menstrual period has ended. d. The woman should have a yearly Pap test.
The most common cause of death in the adolescent age-group involves:
a. Drownings. c. Drug overdoses. b. Firearms. d. Motor vehicles.