The patient has been admitted to the cardiac unit with a ...

[NClaborn]

The patient has been admitted to the cardiac unit with a diagnosis of heart failure. The patient is currently receiving furosemide (Lasix) and is on a low-sodium diet.
 
  Which of the following is the best way for the nurse to determine if the patient is retaining fluid? a. Figuring the patient's body mass index
  b. Calculating the patient's ideal body weight
  c. Recording daily weights during hospitalization
  d. Measuring all fluid intake

Question 2

The nurse has recently been promoted to a new management position in her hospital. She is concerned about her new responsibilities and has found that she is having difficulty sleeping at night. This is an example of what ego-defense mechanism?
 
  a. Compensation
  b. Denial
  c. Conversion
  d. Displacement

[Silverbeard98]

Answer to Question 1

C
Serial measures of weight over time provide more useful information than one measurement. When collecting serial measurements of weight, weigh the patient about the same time each day, on the same scale, and with the same amount of clothing. In some patients, a weight change of 2 pounds in 24 hours is significant because 1 pound is roughly equivalent to 500 mL of fluid. Ideal body weight is a standard for height-weight relationships, not fluid. Body mass index is a standard for weight and body fat, not fluid. Measuring all fluid intake does not include the whole picture because this must be related to the output to determine if the patient is retaining fluid.

Answer to Question 2

C
Conversion is unconsciously repressing an anxiety-producing emotional conflict and transforming it into nonorganic symptoms (e.g., difficulty sleeping, loss of appetite). Compensation is making up for a deficiency in one aspect of self-image by strongly emphasizing a feature considered an asset. Denial is avoiding emotional conflicts by refusing to consciously acknowledge anything that causes intolerable emotional pain. Displacement is transferring emotions, ideas, or wishes from a stressful situation to a less anxiety-producing substitute. (Example: A person transfers anger over a job conflict to a malfunctioning computer.)

[NClaborn]

Thanks

[Silverbeard98]

Welcome