A child with acute glomerulonephritis is in the playroom and experiences blurred vision and a headache. What action should the nurse take?
a. Check the urine to see if hematuria has increased.
b. Obtain the child's blood pressure and notify the health care provider.
c. Obtain serum electrolytes and send urinalysis to the laboratory.
d. Reassure the child and encourage bed rest until the headache improves.
ANS: B
The premonitory signs of encephalopathy are headache, dizziness, abdominal discomfort, and vomiting. If the condition progresses, there may be transient loss of vision or hemiparesis, disorientation, and generalized tonic-clonic seizures. The health care provider should be notified of these symptoms.
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At mealtime, the older adult seems to be eating less food than adequate. The nurse recognizes that the older adult compared to the younger adult requires:
a. more fluids. b. less calcium. c. fewer calories. d. more vitamins.
According to the Merck Institute on Aging and Health, older adults fell short of the Healthy People 2000 goals in all but which of the following area?
a. physical activity b. influenza vaccination c. eating fruits and vegetables d. overweight
A nurse is preparing a client for colonoscopy. Into which position does the nurse assist the client for the procedure?
A. Left Sims' position B. Lithotomy position C. Knee-chest position D. Right Sims' position
For cast removal, the nurse correctly instructs the client that:
A. Discomfort will be felt from the cast saw B. An enzyme wash may be applied to intact skin C. The skin will be scrubbed very well after the removal D. Aggressive range-of-motion exercises will be performed after removal