Thompson12

Bilateral nephrectomy A client is admitted to the emergency department following a fall from a horse and the health care provider (HCP) prescribes insertion of a urinary catheter. While preparing for the procedure, the nurse notes blood at the urinary meatus. The nurse should take which action? Notify the HCP before performing the catheterization. The nurse is assessing the patency of a client's left arm arteriovenous fistula prior to initiating hemodialysis. Which finding indicates that...

The client being hemodialyzed suddenly becomes short of breath and complains of chest pain. The client is tachycardic, pale, and anxious. The nurse suspects air embolism. The priority action for the nurse is to: a. Discontinue dialysis and notify the physician. b. Monitor vital signs every 15 minutes for the next hour. c. Continue dialysis at a slower rate after checking the lines for air. d. Bolus the client with 500 mL of normal saline to break up the embolus. A If the client experienc...

Cognitive Level: Application Text Reference: pp. Nursing Process: Assessment NCLEX: Physiological Integrity 2. A patient with acute renal failure (ARF) has an arterial blood pH of 7.30. The nurse will assess the patient for a. tachycardia. b. rapid respirations. c. poor skin turgor. d. vasodilation. Answer: B Rationale: Patients with metabolic acidosis caused by ARF may have Kussmaul respirations as the lungs try to regulate carbon dioxide. Tachycardia and vasodilation are not associ...

A male client has a history of urinary tract infections due to urinary retention. Which intervention should the nurse implement to decrease the risk of infection? Assist the client to stand for voiding The nurse is assisting a client who is new to a low-potassium diet to select food items from the menu. Which food item is lowest in potassium and should be recommended to the client on this dietary restriction?

The nurse is planning to teach the client about the signs and symptoms of a urinary tract infection. The nurse should include: (Mark all that apply) A. dysuria. B. foul smelling cloudy urine. C. urgency. D. back pain. A. dysuria B. foul smelling cloudy urine C. urgency Rationale: Signs and symptoms of urinary tract infections include dysuria, frequency, urgency, foul odor, pyuria, hematuria and pain in the suprapubic area. A male client is complaining of urinary frequency, dysuria, p...

ANS: B Renin is secreted when special cells in the distal convoluted tubule, called the macula densa, sense changes in blood volume and pressure. When the macula densa cells sense that blood volume, blood pressure, or blood sodium levels are low, renin is secreted. Renin then converts angiotensinogen into angiotensin I. This leads to a series of reactions that cause secretion of the hormone aldosterone. This hormone increases kidney reabsorption of sodium and water, increasing blood pressu...

A nurse is providing discharge instructions for a client with a diagnosis of gastroesophageal reflux disease (GERD). What should the nurse advise the client to do to limit symptoms of GERD? Select all that apply. Avoid heavy lifting. Lie down after eating. Avoid drinking alcohol. Eat small, frequent meals. Increase fluid intake with meals. Wear an abdominal binder or girdle. Avoid heavy lifting. Avoid drinking alcohol. Eat small, frequent meals. The nurse is obtaining a history and p...

inform the client the consequences undergoing changes to accommodate bariatric services - staff verbalized displeasure - action? role model a positive approach encourage staff members who support the issue with resistant staff charge nurse - fire on the unit - action? assist clients who are in immediate danger to a safe location public health nurse developing list for supervisor - qualitatitve research method? phenomenology change of shift report for oncoming nurse - info to include? t...

After vertical banded gastroplasty, a 42-year-old male patient returns to the surgical nursing unit with a nasogastric tube to low, intermittent suction and a patient-controlled analgesia (PCA) machine for pain control. Which nursing action should be included in the postoperative plan of care? a. Offer sips of fruit juices at frequent intervals. b. Irrigate the nasogastric (NG) tube frequently. c. Remind the patient that PCA use may slow the return of bowel function. d. Support the surgic...

. 3 oz of lean beef, 2 oz of low-fat cheese, and a sliced tomato b. 3 oz of roasted pork, a cup of corn, and a cup of carrot sticks c. Cup of tossed salad and nonfat dressing topped with a chicken breast d. Half cup of tuna mixed with nonfat mayonnaise and a half cup of celery B This selection is most consistent with the recommendation of the American Institute for Cancer Research that one third of the diet should be from animal sources and two thirds from plant source foods. The other ...