Answer to Question 1
ANS: A, B, E
Manifestations of fluid overload include increased pulse rate, distended neck veins, increased blood pressure, pale and cool skin, and skeletal muscle weakness.
Answer to Question 2
ANS: D
An older adult with moderate dehydration may experience orthostatic hypotension. The client should dangle on the bedside before ambulating. Although dehydration in an older adult may cause confusion, speaking quietly will not help the client remain calm or decrease confusion. Assessing the client's urine may assist with the diagnosis of dehydration but would not prevent injury. Clients are encouraged to drink fluids, but 1 liter of fluid each shift for an older adult may cause respiratory distress and symptoms of fluid overload, especially if the client has heart failure or renal insufficiency.
When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
Lymphatic vessels (green) pick up excess tissue fluid, purify it in lymph nodes, and return it to th
Fluid and Electrolyte
To reduce stress on your client’s neck when the head is turned, put a towel under the shoulder and ...
Testing client’s ability to identify dull sensation
Phantom Limb Treatment