A client receiving renal replacement therapy over 5 years has lost 40 lbs. and has significant muscle wasting. How should the nurse document this finding?
a. Fat catabolism
b. Dry weight loss
c. Metabolic acidosis
d. Protein-energy wasting
d. Protein-energy wasting
Protein-energy wasting is the term used to describe malnutrition in dialysis patients. Fat catabolism is the use of fat for energy in states of starvation. Dry weight refers to the client's post-dialysis weight which reflects a true weight since excess fluid accumulation has been removed. Metabolic acidosis results from an increase in pH which causes protein catabolism and decreased synthesis of albumin.
You might also like to view...
An older adult complains about experiencing dry eyes daily. Which of the following should the nurse assess to help determine the cause of the patient's complaint?
a. Vitamin B deficiency b. Use of humidifier at home c. History of diabetes mellitus d. Prescription antihistamine use
A nurse is reviewing a client's laboratory test results after being on statin therapy for several months. Which of the following would the nurse interpret as indicating effectiveness of the drug? Select all that apply
A) Total cholesterol 220 mg/dL B) LDL cholesterol 80 mg/dL C) HDL cholesterol 30 mg/dL D) LDL cholesterol 165 mg/dL E) HDL cholesterol 60 mg/dL
Meals are often served on a _______
(A) gown (B) chair (C) floor (D) bed (E) tray
A young adult postoperative patient is receiving morphine 2 to 4 mg IV every 2 hours PRN pain
The last dose was 3 mg given 2 hours ago. The patient is asleep, and the nurse notes a heart rate of 86 beats per minute and a respiratory rate of 8 breaths per minute. Which PRN medication will the nurse give this patient? a. Diphenhydramine (Benadryl) to counter morphine side effects b. Morphine 4 mg for increased pain, as indicated by tachycardia c. Naloxone (Narcan) to block the effects of the morphine d. Nothing at this time, because the patient is resting comfortably