A client with chronic hypertension is seen in the clinic. Which assessment indicates that the client's hypertension is not under control?
a. Heart rate of 55 beats/min
b. Serum creatinine level of 1.9 mg/dL
c. Blood glucose level of 128 mg/dL
d. Irregular heart sounds
B
Increased blood pressure damages the delicate capillaries in the glomerulus and eventually results in acute kidney injury. An elevated serum creatinine level is a manifestation of this. Heart rate, blood glucose level, and irregular heart sounds are not correlated with acute kidney injury.
You might also like to view...
A patient with a history of poorly controlled type 1 diabetes has begun displaying the characteristic signs and symptoms of diabetic nephropathy. The patient's nurse recognizes that the patient is at risk of disruptions to fluid balance
What role do the kidneys play in the maintenance of normal fluid balance? A) Secreting or withholding antidiuretic hormone in response to extracellular fluid volume B) Selectively retaining needed substances and excreting waste products C) Synthesizing and releasing angiotensin in cases of fluid volume deficit D) Maintaining the correct concentration of H+ ions in the blood
The nurse is doing confrontational field testing. Which techniques are correct? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Stand behind and slightly to the right or left of the patient. 2. Assume that the nurse's visual field is normal. 3. Assess the patient's right eye with the nurse's left eye. 4. Test eight major quadrants of gaze. 5. Use the nurse's fingers as the test object.
The graduate nurse is planning care for a newly admitted client who is elderly and has an infected foot that has led to a systemic infection. The nurse completes the plan of care and decides to:
1. Discuss the plan with the physician. 2. Request that the client review the plan. 3. Place the plan on the client's chart. 4. Request a review of the plan with the nurse's preceptor.
The family of a young adult client who has recently been diagnosed with a rapidly progressing terminal illness tells the nurse, "This cannot be happening. There must be some mistake in the testing
" What should be the nurse's first step in assisting this family? A) Offer spiritual support. B) Examine the nurse's own feelings to ensure denial is not shared. C) Allow the family to express sadness. D) Provide structure and continuity to promote feelings of security.