Author Question: Following a myocardial infarction (heart attack), a client begins to recognize the need to increase ... (Read 69 times)

bobbie · **on:** Jul 22, 2018

Following a myocardial infarction (heart attack), a client begins to recognize the need to increase exercise, eat a low-fat diet, and implement relaxation techniques. According to Lewin, this is an example of what type of change?

A) Prizing
B) Unfreezing
C) Movement
D) Refreezing

Question 2

The nurse is assisting in the care of a group of clients on the nursing unit. When considering effects of each medical diagnosis, the nurse determines that which of the following clients has the least risk for developing third-spacing of fluid?

1. Client with a major burn
2. Client with an ischemic stroke
3. Client with Lannec's cirrhosis
4. Client with chronic renal failure

cadimas · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

Ans: B

Answer to Question 2

2

Rationale: Fluid that shifts into the interstitial spaces and remains there is referred to as third-space fluid. This fluid is physiologically useless because it does not circulate to provide nutrients for the cells. Common sites for third-spacing include the pleural and peritoneal cavities and pericardial sac. Risk factors include older adults and those with liver or kidney disease, ma-jor trauma, burns, sepsis, major surgery, malignancy, gastrointestinal (GI) malabsorption, and malnutrition. The client who has suffered a stroke is not at risk for third-spacing.