An otherwise healthy adolescent has meningitis and is receiving IV and oral fluids. The nurse should monitor this client's fluid intake because fluid overload may cause
A. cerebral edema.
B. dehydration.
C. heart failure.
D. hypovolemic shock.
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The nurse applies a fetal monitor to a 15-year-old primagravida admitted to the hospital with possible pregnancy-induced hypertension. Which monitor pattern would the nurse expect to observe if the client is experiencing uteroplacental insufficiency
A. Late deceleration.
B. Early deceleration.
C. Variable deceleration.
D. Fetal acceleration.
Touching other people without their permission, reading someone else's mail, and using personal possessions without asking permission are all examples of
A. antisocial behavior.
B. manipulation.
C. poor boundaries.
D. passive-aggressive behavior.
A client undergoes a total hip replacement. Which statement made by the client would indicate to the nurse that the client requires further teaching
A. "I'll need to keep several pillows between my legs at night. "
B. "I need to remember not to cross my legs. It's such a habit. "
C. "The occupational therapist is showing me how to use a 'sock puller' to help me get dressed. "
D. "I don't know if I'll be able to get off that low toilet seat at home by myself. "
A client with schizophrenia hears a voice telling him he is evil and must die. The nurse understands that the client is experiencing ()
A. a delusion.
B. flight of ideas.
C. ideas of reference.
D. a hallucination.