Nokea
Which of the ff points should a nurse include in the teaching plan for clients who have potential for hypovolemia?
- A. Avoid alcohol and caffeine
- B. Increase intake of milk and dairy products
- C. Increase intake of dried peas and beans
- D. Avoid table salt or food containing sodium
Correct Answer: A
Rationale: Clients at risk for hypovolemia, which is a condition characterized by low blood volume, should be advised to avoid alcohol and caffeine. Alcohol and caffeine are known to have diuretic effects, which can further deplete the body's fluid volume and worsen the condition. By avoiding alcohol and caffeine, clients can help maintain adequate fluid levels in the body and reduce the risk of exacerbating hypovolemia. Additionally, it is important for clients at risk for hypovolemia to stay hydrated by consuming adequate amounts of water or other hydrating fluids.
You may also like to solve these questions
The MOST common cause of obstructive sleep apnea in children is
- A. obesity
- B. allergies
- C. adenotonsillar hypertrophy
- D. pharyngeal reactive edema due to gastroesophageal reflux
Correct Answer: C
Rationale: Adenotonsillar hypertrophy is the leading cause of obstructive sleep apnea in children.
Neonates of mothers with diabetes are at risk for which complication following birth?
- A. Atelectasis
- B. Microcephaly
- C. Pneumothorax
- D. Macrosomia
Correct Answer: D
Rationale: Neonates of mothers with diabetes are at risk for macrosomia following birth. Macrosomia refers to a condition where the newborn baby is significantly larger than average, typically weighing more than 4,000 grams (8 pounds, 13 ounces) at birth. This risk is primarily due to maternal hyperglycemia, which can lead to excessive fetal growth. The elevated glucose levels in the maternal circulation can cross the placenta and stimulate fetal insulin production, resulting in increased growth and potentially leading to macrosomia. Neonates born with macrosomia are at increased risk for complications during delivery, such as shoulder dystocia, birth injuries, and the need for cesarean delivery.
Which patient would benefit most from a capped IV catheter that is used intermittently rather than continuously?
- A. The patient with pneumonia who needs fluids and antibiotics.
- B. The patient who has had major blood loss after a motor vehicle accident.
- C. The young child who is dehydrated.
- D. The elderly patient who is receiving a diuretic for fluid overload.
Correct Answer: D
Rationale: The elderly patient who is receiving a diuretic for fluid overload would benefit most from a capped IV catheter used intermittently rather than continuously. Diuretics cause the body to expel excess fluid, so the patient may require intermittent IV fluid replacement to maintain hydration while avoiding overloading the system with excessive fluids. By using the IV catheter intermittently, healthcare providers can closely monitor the patient's fluid status and adjust fluid administration as needed to prevent dehydration or fluid overload. This approach allows for more precise management of the patient's fluid balance compared to continuous IV infusion.
A newborn is diagnosed with retinopathy of prematurity. What should the nurse know about this diagnosis?
- A. Blindness cannot be prevented.
- B. No treatment is currently available.
- C. Cryotherapy and laser therapy are effective treatments.
- D. Long-term administration of oxygen will be necessary.
Correct Answer: C
Rationale: Retinopathy of prematurity (ROP) is a disorder of the developing retinal blood vessels in premature infants. Cryotherapy and laser therapy are both effective treatments for ROP. These treatments can help prevent vision loss and improve the chances of maintaining good vision. Prompt detection and intervention are key in managing ROP to prevent long-term visual impairment. Therefore, the nurse should be aware that cryotherapy and laser therapy are effective interventions for ROP, contrary to the options suggesting blindness cannot be prevented or no treatment is available. Long-term administration of oxygen can contribute to the development of ROP, so careful monitoring and management of oxygen levels are necessary in premature infants to prevent this condition.
A child is brought to your clinic for a routine exam. She can dress with help, can ride a tricycle, knows her own age, and can speak in short sentences. She had difficulty in copying a square. The age of this child is most likely:
- A. 1 year
- B. 2 years
- C. 3 years
- D. 4 years
Correct Answer: C
Rationale: At 3 years, children typically have the ability to dress with assistance, ride a tricycle, know their age, and speak in short sentences. Copying a square usually occurs later, around 4 years of age.