Author Question: A client is diagnosed with fluid volume excess. Which of the following will the nurse most likely ... (Read 62 times)

burton19126

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A client is diagnosed with fluid volume excess. Which of the following will the nurse most likely assess in this client?
 
  1. Poor skin turgor
  2. Jugular vein distention
  3. Dry mouth
  4. Increased heart rate

Question 2

The nurse is providing care to a client from a different culture. Which of the following behaviors should the nurse demonstrate while providing this care?
 
  1. Objectivity
  2. Subjectivity
  3. Bias
  4. Judgmental attitude



mathjasmine

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Answer to Question 1

2
Excess fluid in the intravascular space causes an elevation in blood pressure, and increased jugular venous pressure may be visible in distended neck veins. Poor skin turgor, dry mouth, and increased heart rate are findings consistent with fluid volume deficit.

Answer to Question 2

1
When delivering culturally competent nursing care, the nurse must be objective, unbiased, and nonjudgmental. The nurse should not be subjective, biased, or use a judgmental attitude.



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