During an admission assessment, the client tells the nurse that they had a nephrectomy three years ago due to a car accident. Which is the nurse's best understanding of this surgery?

1. The client will have no issues during this hospitalization.
2. The physical therapist should be told this information.
3. The kidney function will impact excretion of medications.
4. The nurse should follow up with the pharmacist regarding the information.


3

Rationale 1: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acid–base balance of body fluids. The client will have issues during this hospitalization and the healthcare team should be aware.
Rationale 2: The physical therapist does not need this information during the nursing admission.
Rationale 3: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acid–base balance of body fluids. The kidney function will impact the excretion of medications.
Rationale 4: The nurse does not need to follow up with the pharmacist at this time.

Global Rationale: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acid–base balance of body fluids. The kidney function will impact excretion of medications. Overall wellness is strongly dependent on proper functioning of the kidneys.

Nursing

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A client with Alzheimer's disease in the intensive treatment unit repeatedly tries to go into other patients' rooms to nap during the day. The most appropriate nursing intervention for this patient is what?

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Nursing

A client has been found unresponsive at home for an undetermined period of time. A cerebrovascular accident (CVA) is suspected, and the family is demanding a clot buster be used to restore functioning

The nurse knows that successful use of TPA in a client with CVA requires which of the following? Select all that apply. A) The symptoms are no longer evolving. B) Presence of an ischemic stroke C) Used concurrently with heparin therapy D) Administer intramuscular for faster response. E) Administer within 3 hours of onset of symptoms. F) Administer for hemorrhagic strokes.

Nursing

Healthcare facilities that sponsor health-promotion activities only in affluent areas are considered

A) Culturally sensitive B) Culturally blind C) Culturally affluent D) Culturally different

Nursing