Which nursing action would be most effective for monitoring a patient’s fluid balance?a.auscultate the patient’s lungs for rales every 2 hours b.assess the patient’s temperaturec.inspect the patient for periorbital edema every 4 hour d.weigh the patient at the same time every day5.All of the following are normal findings. Which set of patient data would allow the nurse toconclude that the nursing actions taken to prevent postoperative pneumonia have been effective?a.Temperature 98.6F, no cough, no dyspnea, no chest pain. b.No nausea or vomiting, appetite good, slept well last night.c.Intake = output, voiding normal amounts, no discomfort in incision except when moving in bed, Temp. 98.6F.d.Pulse regular @ 80/min., respirations clear bilaterally @ 20/min., lips pink, skin warm anddry.6.Which of these statements, if made by a patient during the nursing history, would indicate the needto assess for a possible fluid and electrolyte imbalance?a.“I take a multivitamin everyday.” b.“I take a laxative every night at bedtime.”c.“I take acetaminophen occasionally for a headache.”d.“I take aspirin every day for arthritis.”7.Which of these is the preferred method for a nurse to obtain an accurate pulse on a 2- year-oldchild?a.Count the radial pulse. b.Auscultate the apical pulsec.Palpate the femoral pulsed.Assess the carotid pulse8.A patient’s PaCO2 is abnormal on an ABG report. Which of the following would most likely be themedical diagnosis?a.rheumatoid arthritis b.sexually transmitted infectionc.chronic obstructive pulmonary diseased.infection of the bladder and ureters9.A nurse should recognize that which of these sets of vital signs would be considered normal for a42-year-old patient?
Blood pressure, 92/56 mm Hg; pulse, 52/min: respirations, 28/min.
Blood pressure, 118/80 mm Hg: pulse, 72/min: respirations, 6/min.c.Blood pressure, 128/74 mm Hg: pulse, 70/min: respirations, 18/min.
Blood pressure, 152/98 mm Hg: pulse, 74/min: respirations, 20/min.10.A patient has a decreased potassium level. What high-potassium foods would the nurse teach the patient to eat?a.lunch meat, salted nuts, whole milk b.buttermilk, hard candy, spinachc.carbonated beverages, beer, olivesd.oranges, bananas, broccoli