A nurse is caring for a client who has had rheumatoid arthritis (RA) for 5 years. Which laboratory value requires the most immediate intervention by the nurse?

a. White blood cell count (WBC), 3800/mm3
b. Hemoglobin (Hg), 10.6 g/dL
c. Blood urea nitrogen (BUN), 16 mg/dL
d. Creatinine, 3.2 mg/dL


D
Clients with RA usually have pancytopenia, or a decrease in all cell types. WBC and hemoglobin are low, consistent with this condition. BUN is normal. Creatinine is very high; this indicates renal disease. This client may have renal consequences of his or her RA, which should be inves-tigated.

Nursing

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A community health nurse is providing a health promotion session to a group of seniors. Which of the following is most important to instruct regarding hypertension?

A) Hypertension will increase the risk of cancer. B) An increase is sodium is recommended with hypertension. C) Exercise will increase the risk of hypertension. D) Hypertension will increase the risk of heart disease.

Nursing

Nurse Q has started her walking rounds at the beginning of her shift. She just entered Mr. K's room and has found him sitting on the floor smiling up at her

Mr. K says that he is not hurt, just merely "slipped out of bed" while "hunting for quail," and needs some help getting back into bed. Mr. K is a very large and overweight man. Which nursing task priority does this activity/task encompass? a. first priority c. third priority b. second priority d. fourth priority

Nursing

The nurse is assessing parental knowledge of temper tantrums. Which are true statements about temper tantrums? Select all that apply

a. Temper tantrums are a common response to anger and frustration in toddlers. b. Temper tantrums often include screaming, kicking, throwing things, and head banging. c. Parents can effectively manage temper tantrums by giving in to the child's demands. d. Children having temper tantrums should be safely isolated and ignored. e. Parents can learn to anticipate times when tantrums are more likely to occur.

Nursing

A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes. The nurse should base the explanation on the knowledge that

a. It is a less expensive method of testing. b. It is not as accurate as laboratory testing. c. Children are better able to manage the diabetes. d. The parents are better able to manage the disease.

Nursing