A client is experiencing weight gain and foamy dark urine 4 weeks after being treated with antibiotics for a sore throat
Which client statement, made during the health history assessment, should the nurse provide further instruction?
A) "I have been trying to get plenty of rest since I have been sick."
B) "I have changed to a more nutritious diet."
C) "I felt better after 1 week of the antibiotics, so I stopped taking them."
D) "I have gained weight in the last 2 weeks."
Answer: C
The client probably had strep throat and did not take the full course of antibiotics, which accounts for the current symptoms that indicate glomerulonephritis. The nurse teaches this client about the importance of taking medications as prescribed to prevent further complications of a disease. Resting when ill is appropriate, as is changing to a more nutritious diet. Gaining weight would support the nurse's suspicion that the client has glomerulonephritis.
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Many critically ill patients experience anxiety. The nurse can reduce anxiety with which approach?
a. Ask family members to limit their visitation to 2-hour periods in morning, afternoon, and evening. You know that this is the best approach to ensure uninterrupted rest time for the patient. Tell the patient, "Mr. J., your family is in the waiting room. They will be permitted to come in at 2:00 PM after you take a short nap." b. Explain the unit routine. "Mr. J., assessments are done every 4 hours; patients are bathed on the night shift around 5:00 AM; family members are permitted to visit you after the physicians make their morning rounds. They can spend the day. Lights are out every night at 10:00 PM." c. State, "Mr. J., it's time to turn you. I am going to ask another nurse to come in and help me. We will turn you to your left side. During the turn, I'm going to inspect the skin on your back and rub some lotion on your back. This should help to make you feel better." d. Suction Mr. J.'s endotracheal tube immediately when he starts to cough. Tell him, "Mr. J., your tube needs suctioned; you should feel better after I'm done."
A nurse is employed by the U.S. Department of Health and Human Services (USDHHS). Which of the following branches of government is the nurse working for?
a. Judicial b. Executive c. Legislative d. Health
The childbirth educator revises the curriculum to include postpartum depression preventive measures. Topics will include:
1. Encouraging planning in the prenatal period for the postnatal period. 2. Reviewing historical cases of postpartum psychosis with parents. 3. The importance of counseling for all postpartum mothers. 4. Prophylactic administration of Paxil.
The nurse is assessing a patient with glomerulonephritis and notes crackles in the lung fields and neck vein distention. The patient reports mild shortness of breath. Based on these findings, what does the nurse do next?
a. Check for CVA tenderness or flank pain. b. Obtain a urine sample to check for proteinuria. c. Assess for additional signs of fluid overload. d. Alert the health care provider about the respiratory symptoms.