Author Question: The nurse anticipates that the client with a fluid volume excess will manifest which one of the ... (Read 66 times)

NClaborn · **on:** Jul 22, 2018

The nurse anticipates that the client with a fluid volume excess will manifest which one of the following signs?

a. Increased urine specific gravity
b. Decreased body weight
c. Increased blood pressure
d. Decreased pulse strength

Question 2

A prostitute with the human immunodeficiency virus (HIV) and severe complications is being cared for on a medical unit. The nurse is seeking to develop a therapeutic relationship with the client.

Which of the following statements best reflects the nurse's attempt to support the client's self-exploration? a. What type of support do you feel you need?
b. Don't be embarrassed by your former occupation.
c. On what type of schedule do you think you could realistically eat your meals without being nauseated?
d. The people who work here are professionals and will try not to judge your past actions.

Sassygurl126 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Hypertension is manifested with fluid volume excess.
The urine specific gravity would be decreased with fluid volume excess. The nurse would antic-ipate an increased urine specific gravity with fluid volume deficit.
The nurse would anticipate an increase, not a decrease, in body weight with fluid volume excess.
The nurse would anticipate an increase, not a decrease, in pulse strength with fluid volume ex-cess.

Answer to Question 2

A
Encouraging the client's self-exploration is achieved by accepting the client's thoughts and feel-ings, by helping the client to clarify interactions with others, and by being empathetic.
Telling the client not to be embarrassed does not encourage self-exploration. It also assumes that the client is embarrassed, which may not be the case.
The statement On what type of schedule do you think you could realistically eat your meals without being nauseated? involves the client in a decision-making process related to the client's care, but does not support the client's self-exploration. Self-exploration expands self-awareness.
The statement The people who work here are professionals and will try not to judge your past actions is not therapeutic. Telling the client that staff will try not to judge the client's past im-plies that judgement is due and does not encourage open communication and self-exploration.