A nurse is working with an older client admitted with mild dehydration. What teaching does the nurse provide to best address this issue? correct answerHave something to drink every 1 to 2 hours.
A nurse teaches client
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A nurse is working with an older client admitted with mild dehydration. What teaching does the nurse provide to best address this issue? correct answerHave something to drink every 1 to 2 hours.
A nurse teaches clients at a community center about risks for dehydration. Which client is at greatest risk for dehydration? correct answerA 76-year-old who is cognitively impaired
A nurse is caring for a client who exhibits dehydration-induced confusion. Which intervention should the nurse implement first? correct answerApply oxygen by mask or nasal cannula.
After teaching a client who is being treated for dehydration, a nurse assesses the clients understanding. Which statement indicates the client correctly understood the teaching? correct answerI will weigh myself each morning before I eat or drink.
A nurse is evaluating a client who is being treated for dehydration. Which assessment result should the nurse correlate with a therapeutic response to the treatment plan? correct answerDecreased orthostatic light-headedness and dizziness
A nurse is caring for an older adult client who is admitted with moderate dehydration. Which intervention should the nurse implement to prevent injury while in the hospital? correct answerDangle the client on the bedside before ambulating.
A nurse works at a community center for older adults. What self-management measure can the nurse teach the clients to prevent shock? correct answerDrink fluids on a regular schedule.
A nurse cares for an older adult client who has Salmonella food poisoning. The clients vital signs are heart rate: 102 beats/min, blood pressure: 98/55 mm Hg, respiratory rate: 22 breaths/min, and oxygen saturation: 92%. Which action should the nurse complete first? correct answerAdminister intravenous fluids.
A nurse cares for a client who has a serum potassium of 7.5 mEq/L and is exhibiting cardiovascular changes. Which prescription should the nurse implement first? correct answerPrepare to administer dextrose 20% and 10 units of regular insulin IV push.
A client at risk for developing hyperkalemia states, I love fruit and usually eat it every day, but now I cant because of my high potassium level. How should the nurse respond? correct answerBerries, cherries, apples, and peaches are low in potassium
A nurse is assessing a client who has an electrolyte imbalance related to renal failure. For which potential complications of this electrolyte imbalance should the nurse assess? (Select all that apply.) correct answerElectrocardiogram changes, Paralytic ileus, Skeletal muscle weakness
A nurse assesses a client who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.32, PaO2 85 mm Hg, PaCO2 34 mm Hg, and HCO3 16 mEq/L. What action should the nurse take next? correct answerAssess clients rate, rhythm, and depth of respiration.
A nurse assesses a client who is prescribed furosemide (Lasix) for hypertension. For which acid-base imbalance should the nurse assess to prevent complications of this therapy? correct answerMetabolic alkalosis
A nurse is caring for a client who has just experienced a 90-second tonic-clonic seizure. The clients arterial blood gas values are pH 6.88, PaO2 50 mm Hg, PaCO2 60 mm Hg, and HCO3 22 mEq/L. Which action should the nurse take first? correct answerApply oxygen by mask or nasal cannula.
A nurse is caring for a client who is experiencing moderate metabolic alkalosis. Which action should the nurse take? correct answerTeach the client fall prevention measures.
A nurse assesses a client with diabetes mellitus who is admitted with an acid-base imbalance. The clients arterial blood gas values are pH 7.36, PaO2 98 mm Hg, PaCO2 33 mm Hg, and HCO3 18 mEq/L. Which manifestation should the nurse identify as an example of the clients compensation mechanism? correct answerIncreased rate and depth of respirations
A nurse assesses a client who is experiencing an acid-base imbalance. The clients arterial blood gas values are pH 7.34, PaO2 88 mm Hg, PaCO2 38 mm Hg, and HCO3 19 mEq/L. Which assessment should the nurse perform first? correct answerCardiac rate and rhythm
A nurse is assessing a client who has acute pancreatitis and is at risk for an acid-base imbalance. For which manifestation of this acid-base imbalance should the nurse assess? correct answerKussmaul respirations
The nurse would expect a patient with respiratory acidosis to have an excessive amount of? correct answerHydrogen ions
A nurse is caring for a client who has just had a central venous access line inserted. Which action should the nurse take next? correct answerEnsure an x-ray is completed to confirm placement.
A nurse teaches a client who is being discharged home with a peripherally inserted central catheter (PICC). Which statement should the nurse include in this clients teaching? correct answerAvoid carrying your grandchild with the arm that has the central catheter.
A nurse is caring for a client who is having a subclavian central venous catheter inserted. The client begins to report chest pain and difficulty breathing. After administering oxygen, which action should the nurse take next? correct answerPrepare to assist with chest tube insertion.
A nurse is assessing clie
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