A client with diabetes has a serum creatinine of 1.9 mg/dL. The nurse correlates which urinalysis finding with this client?
a. Ketone bodies in the urine during acidosis
b. Glucose in the urine during hyperglycemia
c. Protein in the urine during a random uri-nalysis
d. White blood cells in the urine during a random urinalysis
C
Urine should not contain protein. The presence of proteinuria in a diabetic client marks the be-ginning of kidney problems known as diabetic nephropathy, which progresses eventually to end-stage kidney disease. Decline in kidney function is assessed with serum creatinine. This client's creatinine level is high. The other findings would not be correlated with declining kidney function.
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The nurse is preparing an education program on hearing impairment for a group of new staff nurses. What concepts should be included? (Select all that apply.)
a. A child with a slight hearing loss is usually unaware of a hearing difficulty. b. A clinical manifestation of a hearing impairment in children is avoidance of social interaction. c. A child with a severe hearing loss may hear a loud voice if nearby. d. Children with sensorineural hearing loss can benefit from the use of a hearing aid. e. A clinical manifestation of hearing impairment in an infant is lack of the startle reflex. f. Identification of a hearing loss after the first year is essential to facilitate language development in children.
A nurse has recently been hired by a school to fulfill the role of the school nurse. What was the reason for the initial development of this specialty nursing practice?
a. In-school treatment reduced absenteeism. b. Nurses were cheaper to employ than additional teachers. c. In-school treatment was cost effective. d. Nurses knew when to send young children home.
MC The nurse is teaching a group of high school students the most common risk factors that contribute to the burden of disease in a country such as the United States. Topics should include
A. Unsafe sex, alcohol use, and indoor air pollution. B. Iron deficiency, obesity, and poor hygiene. C. Obesity, sanitation, and high blood pressure. D. High cholesterol, tobacco use, and high blood pressure.
To assess the reflexes of a 5-month-old infant lying supine, the nurse turns the infant's head to the left side so that the chin is over the shoulder. The expected response for this reflex is that the:
a. Left arm and leg abduct and the right arm and leg adduct. b. Left arm and leg extend and the right arm and leg flex. c. Infant turns the chin from the left to the right side. d. Infant begins a sucking motion with the lips and tongue.