A client with acute pancreatitis has a drop in blood pressure from to mm Hg at 2 hours after admission. The client has not voided and has become short of breath
The nurse would anticipate that the abnormal laboratory value consistent with these manifestations is a. hypercalcemia.
b. hyperglycemia.
c. hypoalbuminemia.
d. hypokalemia.
C
Fluid shifts to pleural and abdominal spaces have caused hypovolemia resulting from reduced blood proteins (albumin). The client will show hypoalbuminemia because of reduced blood pro-teins. This process is called "third spacing."
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A woman asks the nurse, "How do oral contraceptives prevent pregnancy?" What will the nurse explain about the combination of estrogen and progesterone in oral contraceptives?
a. Makes cervical mucus hostile to sperm b. Prevents ovulation c. Prohibits implantation of the egg d. Acts as a barrier by destroying sperm
A client's laboratory findings reveal an elevated serum acid phosphatase level and a high-normal prostate-specific antigen level. How does the nurse interpret this information?
a. The client shows evidence of renal disease and should be evaluated further. b. These results may indicate prostate cancer. He should be further evaluated. c. These results are not abnormal. He does not need to be evaluated further. d. These results may indicate an infection. He should be evaluated further.
The nurse is caring for a 14-year-old patient with diabetes mellitus who does not want to self-administer insulin because it is too painful. Which information should the nurse use in re-sponse to the patient's concern?
a. Adolescents are usually enthusiastic about self-care. b. Insulin mixed with a local anesthetic de-creases pain. c. The healthcare provider orders oral insulin for patients with pain. d. There are techniques that will minimize the pain of the injection, though not eliminate it.
A nurse implements the Institute of Medicine's definition of quality health care when providing care that is:
a. Licensed—all health care workers must have a license b. Safe—avoiding injuries to patients from the care intended to help them c. Timely—no waiting or delay for health care d. Innovative—new innovations must be used when they become available