In assessing the client who had a radical nephrectomy for a renal cell carcinoma 6 hours ago, a nurse notes that the client's blood pressure has decreased from 134/90 to 100/56 and the urine output is 20 mL for this past hour
What is the nurse's best first action? A. Position the client so that the remaining kidney is not dependent.
B. Measure the specific gravity of the urine.
C. Document the findings as the only action.
D. Notify the physician.
D
The radical nature of the surgery and proximity of the surgery to the adrenal gland put the client at risk for hemorrhage and adrenal insufficiency. Hypotension is a clinical manifestation asso-ciated with both hemorrhage and adrenal insufficiency. The hypotension is particularly dangerous to the remaining kidney, which must receive adequate perfusion to function effectively.
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A patient is experiencing episodes of chest pain. He smokes a pack of cigarettes per day. When teaching him about the effect of smoking on the cardiovascular system, the nurse will teach the patient about the effects of nicotine
What effect does nicotine have on the heart? A) It increases catecholamines to increase heart rate. B) It diminishes the blood's ability to clot. C) It increases myocardial contractility of the heart. D) It increases high-density lipoproteins.
According to a study of nurses and medication errors using the ethnographic approach, what are nurses doing when "error" is redefined?
a. Creating a unique definition of error, specific to that particular person b. Deciding not to report medication errors c. Determining that the incident did not really happen as stated d. Eliminating guilt regarding the incident
An adult client recalls being taught by parents that breakfast is "the most important meal of the day." The nurse interprets this statement as an example of which of the following types of factors that affect nutrition?
1. religion 2. lifestyle 3. physiological 4. developmental stage
There are ____________________ sacral vertebrae fused into one sacrum
Fill in the blank with the appropriate word.