An older adult client presents with cramping leg pain when walking, which is relieved by rest; cool pale feet; capillary refill in the toes of 4 to 6 seconds; negative Homans' sign bilaterally;
no edema; and inability to palpate dorsalis pedis and posterior tibial pulses bilaterally. Which of the following would the nurse suspect?
A) Arterial insufficiency
B) Musculoskeletal weakness
C) Venous insufficiency
D) Neurologic impairment
A
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A nursing student wants to know why clients with chronic obstructive pulmonary disease tend to be polycythemic. What response by the nurse instructor is best?
a. It is due to side effects of medications for bronchodilation. b. It is from overactive bone marrow in response to chronic disease. c. It combats the anemia caused by an increased metabolic rate. d. It compensates for tissue hypoxia caused by lung disease.
Laboratory results come back on a newly admitted patient
They are as follows: serum BUN, 64 mg/dL; serum creatinine, 2.4 mg/dL; urine osmolality, 210 mOsm/kg; specific gravity, 1.002; and urine sodium, 96 mEq/L. The urine output has been 120 mL since admission 2 hours ago. These values are most consistent with which of the following diagnoses? a. Prerenal failure b. Postrenal failure c. Oliguric renal failure d. Acute kidney injury (AKI)
The Cochrane Collaboration and the Joanna Briggs Institute update systematic reviews of hundreds of clinical interventions to facilitate EBP
A) True B) False
The clinic nurse receives a phone call from a patient. The patient tells the nurse that he forgot to take his medication this morning. Which response by the nurse is best?
a. "Take the next dose as scheduled." b. "What is the name of the medication?" c. "Has this ever happened to you before?" d. "Don't be concerned, this happens all the time."