每周一題第七期-體液平衡
添翼國(guó)際護(hù)士培訓(xùn)學(xué)校ISPN RN國(guó)際護(hù)理英語(yǔ)免費(fèi)培訓(xùn)
每周一題第七期:
No.1Type: SC
Question: The nurse is caring for a client with congestive heart failure.
On assessment, the nurse notes that the client is dyspneic and that
crackles are audible on auscultation. The nurse suspects excess fluid
volume. What additional signs would the nurse expect to note in this
client if excess fluid volume is present?
Options:
1. Weight loss
2. Flat neck and hand veins
3. An increase in blood pressure
4. A decreased central venous pressure (CVP)
每周一題第六期答案:
Answer: 2
Rationale: The nurse is practicing basic nursing skills. Some of
the tasks can be delegated, but the nurse chose to perform
them, so the nurse is acting as a caregiver. An educator teaches
a client, a manager coordinates the care of a client, and an
advocate upholds a client's rights.
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