This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 92-year-old client is brought to the emergency department with complaints of fever, nausea, and ... (Read 49 times)

MGLQZ

  • Hero Member
  • *****
  • Posts: 579
on: Jul 22, 2018
A 92-year-old client is brought to the emergency department with complaints of fever, nausea, and vomiting for the past 2 days. The client denies thirst, and urine specific gravity is below normal values.
 
  The nurse would interpret this finding to be consistent with which of the following? 1. Fluid overload
   2. Normal changes of aging
   3. Dehydration
   4. Congestive heart failure

Question 2

A client in the fourth stage of labor is crying out in pain. Which of the following nursing diagnoses would be the most appropriate for the client at this time?
 
  1. Fear
   2. Anxiety
   3. Acute Pain
   4. Health-Seeking Behaviors


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

morganmarie791

  • Sr. Member
  • ****
  • Posts: 336
Reply #1 on: Jul 22, 2018
Answer to Question 1

3. Dehydration.

Rationale:
The elderly are less able to concentrate their urine, making them susceptible to dehydration. In addition, there is a deficit of the thirst response. However, fever, nausea, and vomiting resulting from these changes are not considered normal. The client's symptoms of nausea and vomiting suggest decreased intake and increased output through vomiting, placing the client at risk for dehydration. Congestive heart failure and fluid overload would present with respiratory difficulty and peripheral edema.

Answer to Question 2

3. Acute Pain

Rationale:
In the fourth stage of labor, the diagnosis of acute pain related to perineal trauma is the most appropriate for the client at this time. The diagnoses of fear and anxiety would be appropriate during the first stage of labor. The diagnosis of health-seeking behaviors does not address the client experiencing pain during labor.


MGLQZ

  • Member
  • Posts: 579
Reply 2 on: Jul 22, 2018
Gracias!

jamesnevil303

  • Member
  • Posts: 337
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Autoimmune diseases occur when the immune system destroys its own healthy tissues. When this occurs, white blood cells cannot distinguish between pathogens and normal cells.

Did you know?

According to the CDC, approximately 31.7% of the U.S. population has high low-density lipoprotein (LDL) or "bad cholesterol" levels.

Muskox populations remain in the Arctic all year, though they migrate to higher elevations in the wi Muskox populations remain in the Arctic all year, though they migrate to higher elevations in the wi
Client position when assessing jugular vein distention. Client position when assessing jugular vein distention.
The nurse applies a pulse oximeter sensor on the client’s finger. The nurse applies a pulse oximeter sensor on the client’s finger.
On March 25, 1911, as scores of young factory girls leaped to their deaths from the eighth, ninth, a On March 25, 1911, as scores of young factory girls leaped to their deaths from the eighth, ninth, a
An emergency department physician at work An emergency department physician at work
(A) Unwrap each of the layers until the client is covered by just the plastic sheet and the towels ... (A) Unwrap each of the layers until the client is covered by just the plastic sheet and the towels ...
Video: Graded potentials - electrical characteristics and types

For a complete list of videos, visit our video library