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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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mkyoungs mkyoungs
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4 years ago
One method of monitoring for signs and symptoms of fluid overload when administering diuretics is
 
  a. record daily morning weights (same time, scale, clothes).
  b. record random weights throughout the day (same scale, clothes, staff member).
  c. assess abdomen every shift.
  d. eat a diet high in sodium.

Question 2

An older female patient will only eat oatmeal and has bad breath. A dental exam reveals that the patient has a few of her own teeth and uses a partial appliance. She also has red, swollen, painful gums, and some teeth are loose at the gumline.
 
  The nurse realizes the patient is experiencing which health problem? A) Periodontal disease
  B) Endodontic disease
  C) Gastrointestinal disease
  D) Lack of adequate nutrition

Question 3

The clinic nurse is caring for a 42-year-old male oncology patient. He complains of extreme fatigue and weakness after his first week of radiation therapy. What response by the nurse would best reassure this patient?
 
  A) These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory and X-ray studies.
  B) These symptoms are part of your disease and can't be helped.
  C) Don't be concerned about these symptoms. Everybody feels this way after having radiation therapy.
  D) This is a good sign. It means that only the cancer cells are dying.

Question 4

Patients on diuretics who become hypokalemic should make sure they include which foods in their daily diet?
 
  a. Bananas, oranges, cantaloupe
  b. Carrots, summer squash, green beans
  c. Apples, pineapple, watermelon
  d. Winter squash, cauliflower, lettuce

Question 5

An 80-year-old patient is admitted to the hospital for dehydration related to flu symptoms and receives intravenous fluids. What is a major risk factor for the patient during this hospitalization?
 
  A) Fluid restriction can lead to infection and constipation.
  B) Fluid restriction can lead to serious electrolyte imbalance.
  C) Dehydration can lead to decreased ability of the bladder to distend.
  D) Overhydration can lead to problems when receiving intravenous fluids.

Question 6

You are caring for a patient who has just been given a 6-month prognosis. The patient states that he would like to die at home. The patient's care needs are unable to be met in a home environment.
 
  In collaboration with the care team, what might you suggest as an alternative?
  A) Discuss a referral for rehabilitation hospital.
  B) Panel the patient for a personal care home.
  C) Discuss a referral for acute care.
  D) Discuss a referral for hospice care.

Question 7

The infectious disease nurse leads a discussion about tuberculosis (TB) in the elderly. Which of the following pieces of information should the nurse include in the discussion?
 
  A) New infections of TB are more common in the elderly.
  B) Symptoms of TB in the elderly mirror other conditions.
  C) The key symptom of TB for the elderly is night sweats.
  D) The key symptoms of TB for the elderly are fever and anorexia.
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dfsdfsdfdfsdfsdf
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Posts: 349
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4 years ago
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Answer to #1

A
Because patients receiving diuretics often have complicated disease conditions such as heart failure and pulmonary edema, record daily morning weights for the patient receiving diuretics. Diet should be low in sodium with no added salt in cooking.

Answer to #2

A
Feedback:
The patient's signs and symptoms are typical of periodontal disease. These signs and symptoms are consistent with endodontic disease, gastrointestinal disease, or a lack of adequate nutrition.

Answer to #3

A

Answer to #4

A
The use of most diuretics, with the exception of the potassium-sparing diuretics, requires adding daily potassium sources (e.g., baked potatoes, raw bananas, apricots, or navel oranges, cantaloupe, winter squash).

Answer to #5

D
Feedback:
Older patients are more sensitive to overhydration which is a consideration if intravenous fluids are needed. The patient was admitted and treated with intravenous fluids for dehydration. At this point, overhydration would be a concern. The patient is not prescribed a fluid restriction so there is no risk for infection, constipation, or electrolyte imbalance. Dehydration does not lead to changes in the bladder's ability to distend.

Answer to #6

D

Answer to #7

B
Feedback:
Classic symptoms of TB are not exhibited by the elderly, and symptoms resemble those associated with many other geriatric conditions. This fact can delay diagnosis.
This verified answer contains over 390 words.
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mkyoungs Author
wrote...

4 years ago
I appreciate what you did here, answered it right Smiling Face with Open Mouth
kamikazekota
wrote...

Yesterday
Thanks
hmonier
wrote...

2 hours ago
Thanks
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