Which assessment finding, after the dialysate is drained during peritoneal dialysis for a child experiencing acute renal failure, would warrant further action by the nurse?
1. The dialysate is clear on return.
2. The volume of drained dialysate is less than the volume infused.
3. The child is restless, wanting to get up and play.
4. The child's vital signs are basically the same as were noted on infusion.
2
Explanation:
1. This is a normal finding and does not require reporting.
2. This indicates fluids are being retained and is not desirable. The healthcare provider should be notified.
3. This could indicate the child is feeling better. It is a desired effect and does not require reporting to the healthcare provider.
4. This is an expected finding. No dramatic differences in vital signs should be noted.
You might also like to view...
The State Board of Health requests the employee file of all agency nurses employed within the past year. At the end of the review the organization receives a sanction associated with these nurses. What is the most likely cause of this sanction?
1. No current address on file for the nurse 2. Past employment history not documented in file 3. Evaluation of the nurse's performance missing from file 4. No documentation of past certifications in file
Which social science theories are founded on utilitarianism?
A) Feminist theory B) Chaos theory C) General systems theory D) Exchange theory
A 56-year-old patient with cancer of the bladder is recovering from a cystectomy with an ileal conduit. What is an important aspect in nursing interventions of the patient with an ileal conduit?
a. Instructing the patient to void when the urge is felt. b. Maintaining skin integrity. c. Limiting oral intake to 1000 mL/day d. Limiting acid-ash foods.
During assessment, the client tells the nurse, "I don't believe that the existence of God has been proven. I don't see the scientific evidence I need to be certain." How should the nurse document this finding?
1. The client demonstrates polytheism. 2. The client is an atheist. 3. The client has beliefs that support monotheism. 4. The client is agnostic.