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:

Productivity Suffers

A situation where the efficiency or output of work decreases due to various factors.

Emotional Interference

The impact of one's emotions on their cognitive processes, potentially hindering decision-making or problem-solving abilities.

Selective Perception

The process by which individuals perceive what they want in media messages while ignoring opposing viewpoints.

Selective Memory

A cognitive process where a person remembers some information while forgetting other info, often influenced by emotional factors.