A nurse assessing a client with a renal abscess would expect to find
a. bacteria in the urine.
b. high fever.
c. hypertension.
d. oliguria.
B
Clients with a renal abscess typically have high fever and moderate to severe pain. Unlike that in clients with pyelonephritis, the urine is usually sterile because the abscess does not reach into the urinary collecting system.
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The nurse is caring for a newborn who was circumcised earlier in the day. What should be included in the plan of care?
a. Administration of a topical anesthetic to the site b. Application of ice to stop bleeding c. Retraction of any remaining foreskin d. Observation for bleeding for the first 12 hours
The nurse should avoid which of the following interventions when dealing with a client having a panic attack?
A) Communicating in a nonthreatening manner B) Maintaining a calm environment C) Providing a safe place D) Touching the client
The spouse of a patient with end-stage renal disease sits quietly at the patient's bedside, staring at the patient as the patient slips into a coma. What should the nurse do at this time?
a. Ask the spouse what plans have been made for the patient once death occurs. b. Remind the spouse to use the call light if the patient wakes up wanting something. c. Sit down with the spouse and engage in conversation about the patient's care needs. d. Suggest the spouse return home, as the patient is unaware of the spouse being there. ____
A nurse is gathering data about a patient. The nurse determines that which of the following is objective data?
a. The patient complains of phantom pain after receiving a left below-the-knee amputation. b. The patient complains of crushing chest pain and states, "I feel like there is an elephant sitting on my chest." c. The patient complains of feeling anxious about being hospitalized, and states, "I feel like I'm going to die." d. The patient has a heart rate of 99 beats per minute, respirations of 20 per minute, and a temperature of 99.2° F.