The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping effectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is:
Myocardial Infarction.
Atelectasis.
Fluid volume deficit.
Fluid volume excess.
The Correct Answer is D
Heart failure is a condition in which the heart is unable to pump blood effectively, leading to a buildup of fluid in the body. This can result in edema (swelling) and fluid accumulation in the lungs, causing coarse crackles when breathing. The term for this condition is fluid volume excess, which refers to an excessive amount of fluid in the body.
Myocardial infarction is a heart attack, atelectasis is a collapse of lung tissue, and fluid volume deficit refers to a lack of fluid in the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nursing diagnosis was "Risk for Deficient Fluid Volume" related to excessive fluid loss, secondary to diarrhea and vomiting. The goal was set that the client's symptoms would be eliminated within 48 hours. The client is being seen after a week and has had no diarrhea or vomiting for the past 5 days, indicating that the problem has been resolved. Therefore, the nurse should document that the problem has been resolved and the goal has been met.
Correct Answer is B
Explanation
The first action the nurse should take in this situation is to rescue the client from immediate danger. This means ensuring that the client is safely removed from the room and away from the fire. The safety of the client is the top priority in this situation. Once the client is safe, the nurse can then take further actions such as activating the fire alarm system and attempting to extinguish the fire if possible.
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