While Assessing an Older Adult Patient with Fluid Excess,the Nurse

question 31

Multiple Choice

While assessing an older adult patient with fluid excess,the nurse notes the following: T = 98.6°F,P = 92,R = 18,BP = 166/88 mm Hg,bilateral crackles,oxygen saturation = 95%.Which action should the nurse take first?

• A) Provide oxygen at 2 L per nasal cannula.
• B) Place the patient in a high Fowler's position.
• C) Provide a urinal and encourage the patient to void.
• D) Lay the patient flat in bed to listen to bowel sounds.

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Definitions:

Collectivistic

Referring to cultural values that emphasize the importance of groups and collective well-being over individual interests and achievements.

Allocentric

Describing an outward-looking approach to life, where the focus is on others and the larger group, as opposed to self-centered interests.

Sociocentric

A perspective or approach that prioritizes the group over the individual, common in collectivist cultures, influencing social behavior and norms.

Balance Theory

A theory in social psychology that suggests individuals strive for harmony and consistency in their relationships and beliefs, leading them to change their attitudes when they feel imbalance.