Which of the following fluid and electrolyte imbalances would the nurse anticipate that the client would be particularly susceptible to in the emergent phase of burn care
A. Metabolic alkalosis.
B. Hemodilution.
C. Hypernatremia.
D. Hyperkalemi
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When caring for an adolescent client diagnosed with depression, the nurse should remember that depression manifests differently in adolescents and adults. In an adolescent, signs and symptoms of depression are likely to include which of the following
A. Helplessness, hopelessness, hypersomnolence, and anorexia.
B. Truancy, a change of friends, social withdrawal, and oppositional behavior.
Curfew breaking, stealing from family members, truancy, and oppositional behavior.
D. Hypersomnolence, obsession with body image, and valuing of peers’ opinions.
Which one of the following observation would the nurse evaluate as an expected outcome for a client who has undergone surgical repair of an inguinal hernia
A. The client will remain on a soft diet until the wound is healed.
B. The client’s voiding patterns will return to normal within 6 months after surgery.
C. The client will use a cane for assistance with ambulation for 2 to 6 weeks after surgery.
D. The client will verbalize understanding of instructions to avoid lifting for 2 to 6 weeks
The nurse is evaluating the effectiveness of airway suctioning. Which of the following outcome criteria is most appropriate
A. Respirations unlabored.
B. Decreased mucus production.
C. Hollow sound on chest percussion.
D. Breath sounds clear on auscultation.
A multigravida at 37 weeks’ gestation tells the nurse that she has frequent heartburn. The nurse teaches the client with suggestions for obtaining relief from the heartburn. Which of the following statements by the patient indicates that she has understood the nurse’s instructions
A. "I can take a teaspoon of baking soda in water occasionally. "
B. "I should eat only three large meals and drink plenty of fluids. "
C. "It’s all right for me to have a fried hamburger and fries. "
D. "I should eat smaller, more frequent meals with fluids. "