Saunders question - Study guides, Class notes & Summaries

36) The nurse is caring for a client w/HF. On assessment, the nurse notes that the client is dyspneic and crackles are audible on auscultation. What additional signs would the nurse expect to note in this client if excess fluid volume is present? 1. weight loss 2. flat neck and hand veins 3. an increase in BP 4. Decreased central venous pressure (CVP) correct answers3 A fluid volume excess is also known as overhydration or fluid overload and occurs when fluid intake or fluid retention excee...

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping? 1. Neglecting personal grooming 2. Looking at old snapshots of family 3. Participating in a senior citizens' program 4. Visiting their spouse's grave once a month 1. Neglecting personal grooming Rational: Coping mechanisms are behaviors used to decrease stress and anxiety. In response to a death, ineffective coping is manifested by an extreme behavi...

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HESI EXIT saunders questions WITH 100% CORRECT ANSWERS | ALREADY GRADED A+

RATIONALES QUESTIONS FOR SAUNDERS FUNDAMENTALS QUESTIONS AND CORRECT ANSWERS (2024)1- Nodding or smiling by a Japanese American client may reflect only the cultural value of interpersonal harmony. This nonverbal behavior may not be an indication of acceptance of the treatment, agreement with the speaker, or understanding of the procedure. 2- Arranging for an interpreter would be the best practice when communicating with a client who speaks a different language. Options 1 and 4 are inappropr...

Adult Health Test Bank MULTIPLE CHOICE 1. The nurse reviews the health record of a client with melasma. The nurse would anticipate that this client will exhibit: 1. Skin that is uniformly dark in color 2. Very pale skin with little pigmentation 3. Patches of skin that have loss of pigmentation 4. Blotchy brown macules across the cheeks and forehead ANS: 4 Rationale: Melasma is a condition caused by hormonal influences on melanin production and is noted by the appearance of blotchy bro...