During a discussion about the family, a client begins to cry. The ...

[ts19998]

During a discussion about the family, a client begins to cry. The nurse should:
 
  A. Stay with the client
  B. Let the client have time alone
  C. Tell the client that everything will be all right
  D. Explain that crying is a normal reaction to the situation

Question 2

Which symptom is the patient with fluid overload likely to exhibit?
 
  a. Oliguria
  b. Distended neck veins
  c. Increased skin temperature
  d. Increased urine specific gravity

[SeanoH09]

Answer to Question 1

A
A. Staying with the client who is crying provides comfort and support.
B. Leaving the client who is crying does not provide support or allow the nurse to do further assessment.
C. Telling the client that everything will be all right is false reassurance.
D. This explanation does not provide comfort or support for the client.

Answer to Question 2

B
Cardiovascular signs of fluid volume excess include bounding pulse rate, normal blood pressure with or without orthostatic changes, third heart sound (S3), and distended neck veins. Oliguria is a renal sign of fluid volume deficit. Increased skin temperature is a sign of fluid volume deficit. Increased urine specific gravity is a renal sign of fluid volume deficit.

[ts19998]

Gracias!

[laurnthompson]

TYSM