The nurse is assessing a client at the change of shift. The client's respiratory rate has increased since the previous day
The nurse performs a focused assessment to determine if the client has other manifestations of fluid excess, such as:(Select all that apply) Standard Text: Select all that apply. 1. Weight loss
2. Cool extremities
3. Edema
4. Hypertension
5. Periorbital edema
3,4,5
Rationale: Fluid volume deficit may manifest itself with weight loss
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While assessing a new wound, the nurse notes red, watery drainage. What type of drainage will the nurse document this as?
1) Sanguineous 2) Serosanguineous 3) Serous 4) Purosanguineous
The Friedman Family Assessment Model views the family as:
a. just one of the basic units of wider society along with religion, education, health, and others b. the center of concentric circles representing the individual as the most important element in society c. indispensable to the individual in attaining normal physical and psychological growth d. more important than the individual in terms of predicting the future success of the individual
A client's family has requested the assistance of an advocate to obtain required services in the care of their mother. What is the person's role when acting as a consumer advocate?
A) Assist the client and family in resolving concerns or problems B) Ensure that quality nursing care is provided C) Provide dietary health counseling D) Assist with the admission process to a long-term care facility
Which clinical conditions would the nurse most likely associate with a client who has a documented history of alcoholism?
1. Pernicious anemia 2. Thiamine deficiency 3. Scurvy 4. Vitamin A deficiency 5. Pellagra