5 steps of Nursing Process

Assessment, Diagnosis, Planning, Implementation, and Evaluation.

can cause a shift in a client's fluid status, so an assessment of vital signs is necessary to be done initially to ensure an adequate, and not too much, of a fluid change.

Persistent red lochia

can be caused by inadequate uterine contractions, retained placental fragments, and infection.

hypernatremia symptoms`

thirst, increased temperature, dry, sticky mucous membranes, restlessness

hyponatremia symptoms

weakness, altered mental status, decreasing level of consciousness, muscle twitching and seizures.

metabolic effects of Addison's Disease

Hyperkalemia, hyponatremia, and hypoglycaemia.

Some of the manifestations of hypoglycaemia include

hunger, nausea, anxiety, pale and cool skin, sweating, tremors, irritability, rapid pulse, and hypotension.

a loud, high-pitched sound heard over abd

Distention/firm abdomen should first be

auscultated to rule out decreased peristalsis

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HESI FUNDAMENTALS

Question	Answer
5 steps of Nursing Process	Assessment, Diagnosis, Planning, Implementation, and Evaluation.
Peritoneal dialysis	can cause a shift in a client's fluid status, so an assessment of vital signs is necessary to be done initially to ensure an adequate, and not too much, of a fluid change.
Persistent red lochia	can be caused by inadequate uterine contractions, retained placental fragments, and infection.
hypernatremia symptoms`	thirst, increased temperature, dry, sticky mucous membranes, restlessness
hyponatremia symptoms	weakness, altered mental status, decreasing level of consciousness, muscle twitching and seizures.
metabolic effects of Addison's Disease	Hyperkalemia, hyponatremia, and hypoglycaemia.
With a bowel obstruction, the client will experience vomiting which will then lead to	hypokalemia
Some of the manifestations of hypoglycaemia include	hunger, nausea, anxiety, pale and cool skin, sweating, tremors, irritability, rapid pulse, and hypotension.
tympanny	a loud, high-pitched sound heard over abd
Distention/firm abdomen should first be	auscultated to rule out decreased peristalsis
You must auscultate for up to ___ min before determining bowel sounds are absent	5

Created by: DOMONIC

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