A client with bacterial infection is suspected of suffering from malnutrition. Which nursing assessment finding would be most significant in evaluating this client?
A) Nitrogen balance
B) Serum albumin level
C) Urine creatinine/height index
D) Total lymphocyte count (TLC)
D
Feedback:
Protein and calorie deficits interfere with immune function, resulting in a low TLC. Nitrogen balance and serum albumin are significant for low protein levels but not as important with immune functioning. Urine creatinine/height index would be helpful in evaluation of body muscle mass but not as significant for immune problems.
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Which responses would you expect to see in sympathetic nervous system stimulation?
a. pupils normal size, decreased heart rate, bronchial constriction b. pupils dilated, decreased heart rate, increased respiratory rate c. pupils normal size, increased blood pressure, bronchial constriction d. pupils dilated, increased heart rate, increased respiratory rate
When the nurse is giving instructions for discharge, he notices that the television is on and he is eating a meal. The best thing for the nurse to do to ensure that the patient's discharge teaching is understood is to:
a. Review all important discharge teaching while in the room b. Ask whether the patient has any questions about the discharge c. Inform the patient that the instructions are on the discharge sheet d. Arrange another time with the patient to review the discharge teaching
As part of their teaching function at discharge, nurses should tell parents that the baby's respiration should be protected by all of the following procedures except to:
1. prevent exposure to people with upper respiratory tract infections. 2. keep the infant away from secondhand smoke. 3. avoid loose bedding, water beds, and beanbag chairs. 4. not let the infant sleep on his/her back.
The nurse is caring for a client admitted to the medical–surgical unit with hypervolemia that has resulted from renal failure. Which medications does the nurse anticipate will be prescribed for this client based on the diagnosis?
Standard Text: Select all that apply. 1. Furosemide (Lasix) 2. Hydrochlorothiazide (Microzide) 3. Epoetin alfa (Procrit) 4. Polystyrene sulfate (Kayexalate) 5. Sodium bicarbonate