Buy Medications That Affect Fluid Volume Excess

Buy Medications That Affect Fluid Volume Excess
Buy Medications That Affect Fluid Volume Excess
Chapter 21 Fluids and Electrolytes 673
An older adult is admitted to the hospital via the
emergency department for unexplained episodes of
fainting. When the patient arrives on the unit, the
nurse reviews the primary health-care provider’s
orders, obtains the patient’s vital signs, and performs
a physical assessment.
cet Patient’s Clinical Record
Vital Signs
Temperature: 99.9°F, temporal.
Pulse: 104 beats/minute.
Respirations: 16 breaths/minute, regular rhythm.
Blood pressure: 96/64 mm Hg.
Primary Health-Care Provider’s Orders
Regular diet.
Encourage PO fluids.
OOB to a chair with assist.
Vital signs every 8 hours.
Intake and output.
Daily weight.
IVF 1,000 mL 0.9% normal saline bolus x 1.
Voiding dark amber urine.
Tenting of skin over sternum.
Weight is 116 lb. Patient states a loss of 3 lb in the last 2 days.
What should the nurse do based on this information?
1. Offer a variety of fluids to keep at the patient’s
2. Hold the lunch tray until the patient talks with
the dietitian.
3. Teach the patient how to collect a midstream
urine specimen.
4, Have the patient sit on the side of the bed for a
minute before standing.
A patient is receiving a potassium-sparing diuretic.
For which nontherapeutic effect should the nurse
assess the patient?
1. Muscle weakness
2. Hypoactive reflexes
3. Respiratory depression
4, Dry sticky mucous membranes
A patient is admitted to the hospital after several
days of diarrhea, nausea, and vomiting. Which clinical indicator should the nurse expect to identify
when completing an admission nursing assessment?
1. Adventitious breath sounds
2. Nonelastic skin turgor
3. Frothy sputum
4, Weight gain
33. A 58-year-old woman comes to the emergency department reporting multiple vague discomforts. The nurse
obtains the patient’s history and performs an intake
interview. The primary health-care provider performs
a physical assessment and orders x-rays, an electrocardiogram, a complete blood count, a urinalysis, and a
metabolic pan
What is the most important nursing intervention
while caring for this patient?
1. Encouraging the patient to increase fiber in her diet
2. Handling the patient carefully when completing
the ordered tests
3. Obtaining the blood specimens before sending the
patient for x-rays
4, Performing the electrocardiogram after determining if the patient has a pacemaker
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