The nurse is caring for a client admitted with a diagnosis of acute renal failure who asks, "Does this mean my kidneys are failing and I will need a kidney transplant?" The nurse explains:
1. "Acute kidney failure can be reversed with prompt treatment, and usually will not destroy the kidney."
2. "Kidney transplantation is highly likely, and it would be a good idea to start talking to family members."
3. "When the doctor comes to see you, we can talk about whether you will need a transplant."
4. "No, don't think that. You're going to be fine."
1
Rationale: Acute renal failure is often resolved without need for transplant if treatment is initiated quickly. There is no need to start lining up donors or wait for the provider to arrive to explore options. Telling the client he will be fine is condescending, provides no information, and is not within the nurse's scope of expertise.
You might also like to view...
Which of the following occupations poses the least risk for sensory alterations?
1. Waiter 2. Welder 3. Computer programmer 4. Construction worker
A pediatric patient has been diagnosed with obstructive sleep apnea (OSA). Which statement would the nurse use as a basis for explaining the etiology of this disorder?
a. Melatonin is not being released in sufficient quantity. b. This condition is often due to adenotonsillar hypertrophy. c. Children have a high ratio of REM sleep that can result in frequent gasping. d. This can be related to a sleep position which compromises chest movement.
According to the USDA Dietary Reference Intakes, a healthy diet should supply its calories in which distribution among the food groups?
a. 10-35% carbohydrate, 45-65% protein, 20-35% fat b. 20-35% carbohydrate, 10-35% protein, 45-65% fat c. 65-70% carbohydrate, 10-15% protein, 10-15% fat d. 45-65% carbohydrate, 10-35% protein, 20-35% fat
A nurse obtains a health history from a patient who has a 35 pack-year smoking history. The patient complains of hoarseness and tightness in the throat and difficulty swallowing. Which question is most important for the nurse to ask?
a. "How much alcohol do you drink in an average week?" b. "Do you have a family history of head or neck cancer?" c. "Have you had frequent streptococcal throat infections?" d. "Do you use antihistamines for upper airway congestion?"