Author Question: When caring for the client with edema secondary to congestive heart failure, the nurse monitors ... (Read 109 times)

audie · **on:** Jul 22, 2018

When caring for the client with edema secondary to congestive heart failure, the nurse monitors which of the following as an indication of the client's ability to excrete excess fluid volume through the kidney?

1. Creatinine
2. Albumin
3. Sodium
4. Chloride

Question 2

The nurse is assessing the family of a pediatric client who has been confined to bed after an accident. Adaptation is expressed by: Standard Text: Select all that apply.

1. Effective coping.
2. Ineffective coping.
3. Appropriate behavior.
4. Minimization.
5. Undoing.

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

Answer to Question 1

1
Rationale: Serum creatinine levels indicate the kidney's ability to function in order to excrete excess fluid volumes. Elevated creatinine levels indicate kidney damage. Lowered serum albumin levels might explain edema in clients with normally functioning kidneys, because albumin helps to hold fluid in the intravascular space. Elevated sodium levels would cause less fluid to be excreted, but would not indicate the ability of the kidneys to excrete excess fluid. Chloride does not impact kidney excretion of fluid.

Answer to Question 2

1,3
Rationale: Effective coping is an expression of adaptive behavior.