Patients with chronic renal failure benefit from epoetin alfa because the drug:
a. replaces erythropoietin no longer produced in the proximal tubules of the kidney.
b. neutralizes the kidney's waste products, which destroy circulating RBCs.
c. metabolizes the hormone that interferes with RBC production.
d. increases the kidney's excretion of substances that interfere with RBC production.
a
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A client is admitted to the hospital with a diagnosis of kidney stones. The physician orders IV fluids, x-rays, blood work, and a Foley catheter for the client
The nurse is caring for the client 3 days after admission and takes morning vital signs of 101°F, heart rate 92, respirations 25, and blood pressure 120/80. The urinary output has decreased, and the urine is cloudy and dark amber. The nurse suspects which of the following? 1. The client is getting ready to pass the kidney stones. 2. The client has developed a cold. 3. The client has a urinary tract infection that is probably nosocomial. 4. The client is in renal failure.
A client receives a diagnosis of bipolar I disorder, current episode depressed. A physician prescribes paroxetine (Paxil) for the client. The client is encouraged to participate in unit activities and to talk about her feelings
Despite all efforts, the client's depression becomes profound. The client is in total despair and is in a vegetative state. The physician obtains consent to perform electroconvulsive therapy (ECT). What is the rationale behind this treatment for profound depression? A) The client is made to forget painful memories from the past and to go on with her life. B) The treatment causes stimulation of the central nervous system (CNS) similar to CNS stimulant medication, thereby lifting mood. C) The treatment satisfies the need for punishment that severely depressed clients sometimes think they deserve. D) The treatment is thought to increase levels of norepinephrine and serotonin, resulting in mood elevation.
During a general survey, the nurse documents the waist circumference of an overweight female patient as 36 inches. This patient is at high risk for which of the following diseases?
A) Type 2 diabetes B) Arthritis C) Osteoporosis D) Crohn's disease
To empty an ostomy pouch:
a. The belt is removed b. The pouch is removed c. The drain at the top is opened d. The drain at the bottom is opened