Which of the following actions by the nurse is most important when caring for a client with renal disease who has an order for furosemide?
A. Check the specific gravity of the urine daily.
B. Eliminate potassium-rich foods from the diet.
C. Assess urine output and renal laboratory values for signs of nephrotoxicity.
D. Encourage the client to void every 4 hours.
Ans: C. Assess urine output and renal laboratory values for signs of nephrotoxicity.
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A nurse assesses a client who has diabetes mellitus. Which arterial blood gas values should the nurse identify as potential ketoacidosis in this client?
a. pH 7.38, HCO3- 22 mEq/L, PCO2 38 mm Hg, PO2 98 mm Hg b. pH 7.28, HCO3- 18 mEq/L, PCO2 28 mm Hg, PO2 98 mm Hg c. pH 7.48, HCO3- 28 mEq/L, PCO2 38 mm Hg, PO2 98 mm Hg d. pH 7.32, HCO3- 22 mEq/L, PCO2 58 mm Hg, PO2 88 mm Hg
SBAR communication stands for __________
a. situation, breathing, airway, and respirations b. situation, background, assessment, and recommendation c. situation, background, action, and recommendation d. situation, breathing, assessment, and recommendation
The nurse assesses the newborn's ears to be parallel to the outer and inner canthus of the eye. The nurse documents this finding to be:
1. A normal position. 2. A possible chromosomal abnormality. 3. Facial paralysis. 4. Prematurity.
The 1986 Immigration Reform and Control Act had what effect on illegal aliens living in the United States?
a. Discriminated against individuals from Southern and Eastern Europe b. Allowed illegal aliens already living in the United States to apply for legal status c. Permitted foreign-born populations to set up communities in or around major metropolitan areas d. Allowed illegal aliens access to "green cards" that would allow them to work in the United States