The Nurse Is Concerned That a Client with a Fluid

question 7

Multiple Choice

The nurse is concerned that a client with a fluid imbalance is at risk for an alteration in perfusion.Which assessment data indicates that the client is experiencing an alteration in perfusion? Select all that apply.

• A) Skin turgor 20 seconds
• B) Peripheral pulses present and full
• C) Capillary refill of nail beds 3 seconds
• D) Oriented to person, place, and time
• E) Bowel sounds sluggish in all four quadrants

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Definitions:

Discriminate

To treat someone differently or unfairly based on characteristics such as race, gender, age, or religion.

Public Acts

Laws or legislative decisions that are passed by government and apply to the public as a whole.

Preemptive Power

The authority to act before others to prevent an undesirable outcome, often used in legal or military contexts to describe preemptive measures or actions.

Necessary

Something essential or required for a particular purpose or outcome, often in the context of achieving goals or fulfilling conditions.