Author Question: During a routine prenatal visit, the nurse finds an increase in the blood pressure of a client who ... (Read 109 times)

fbq8i · **on:** Jul 22, 2018

During a routine prenatal visit, the nurse finds an increase in the blood pressure of a client who is 24 weeks pregnant. The nurse would identify which of the following nursing diagnoses as being appropriate for the client at this time?

1. Excess Fluid Volume
2. Risk for Deficient Fluid Volume
3. Ineffective Coping
4. Anxiety

Question 2

The nurse is teaching a class about renal health to a group at a senior center. An elderly white gentleman asks the nurse if renal stones are likely for him. The nurse responds knowing which of the following?

1. Most men affected are young or middle adulthood.
2. Women are affected more than men.
3. Frequency is greater in the northern states of America.
4. The elderly are particularly at risk for urolithiasis.

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

Answer to Question 1

2. Risk for Deficient Fluid Volume

Rationale:
The rise in blood pressure could be a precursor to a fluid shift from intravascular to extravascular spaces seen in preeclampsia. The client would be at risk for fluid volume deficit. Not enough information is provided to determine if the client is experiencing fluid volume overload. There is no information to support ineffective coping or anxiety in the client.

Answer to Question 2

1. Most men affected are young or middle adulthood.

Rationale:
Men who are in young to middle adulthood are affected two to three times more than women of that age. The frequency of the occurrence of renal stones is greatest in the southern and midwestern states of America.