What is the most appropriate nursing diagnosis for the client with acute pancreatitis
A. Deficient fluid volume.
B. Excess fluid volume.
C. Decreased cardiac output.
D. Ineffective gastrointestinal tissue perfusion.
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During a morning assessment, the nurse percusses tympany. The nurse understands that tympany is a loud, high-pitched, moderately long sound with a drumlike, musical quality that's most commonly heard over the
A. heart.
B. liver.
C. pancreas.
D. stomach.
Which of these signs suggests that a client with syndrome of inappropriate antidiuretic hormone (SIADH) secretion has developed complications
A. Tetanic contractions.
B. Neck vein distention.
C. Weight loss.
D. Polyuria.
A client who has received a new prescription for oral contraceptives asks the nurse how to take them. Which of the following would the nurse instruct the client to report to her primary caregiver
A. Breast tenderness.
Breakthrough bleeding within first 3 months of use.
C. Decreased menstrual flow.
D. Blurred vision and headache.
The physician orders supplemental oxygen for a client with a respiratory problem. To provide the highest possible oxygen concentration, the nurse expects to use which oxygen delivery device
A. Nasal cannula.
B. Venturi mask.
C. Partial rebreathing mask.
D. Nonrebreathing mask.