The Nurse Who Is Caring for a Client with a Diagnosis

question 67

Multiple Choice

The nurse who is caring for a client with a diagnosis of cirrhosis suspects fluid volume excess.The client is experiencing dyspnea,and a respiratory rate of 32,and crackles are heard on the auscultation of the lungs.If a fluid volume excess is present,what additional findings would the nurse expect to note in this client?

• A)flat hand and neck veins
• B)weak and thready pulse
• C)elevated blood pressure
• D)increased urine output

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Definitions:

External Factors

Elements outside an organization or individual's control that can impact their performance or decision-making process.

Self-Serving Bias

A common tendency to attribute one's successes to personal qualities and failures to external factors.

Attribution

The act of explaining the causes of behaviors or events, often associating them with personal traits or external situations.

Self-Monitors

Individuals who observe and regulate their behavior in social situations to fit the norms or expectations.