While assessing a client's mucous membranes of the lips and mouth, the nurse notes a smell like ammonia. This abnormal breath odor is associated with which of the following disease processes?
a. abscesses or gum disease of advanced tooth decay
b. ketoacidosis of diabetes or malnourishment
c. nitrogen breakdown of liver diseases
d. urea buildup of end-stage renal failure
D
Ammonia smell occurs during the end stage of renal failure from the buildup of urea.
You might also like to view...
The nurse is obtaining a medication history of a 48-year-old patient with an ear infection who is to receive penicillin therapy. The patient reports taking a beta-adrenergic blocker for his hypertension
The nurse would identify that this patient is at increased risk for which of the following if penicillin is administered? A) Anaphylactic shock B) Higher blood pressure C) Excess bleeding D) Heart attack
During a physical examination of a female patient's reproductive system, the nurse detects a thick white discharge from the labia. The patient's vulva appears inflamed. How should the nurse document this finding?
A) Symptoms of trichomonal vaginitis B) Symptoms of candidal vaginitis C) Symptoms of bacterial vaginosis D) Symptoms of primary syphilis
How would you classify Mrs Edwards' wound?
Mrs Edwards is a 58-year-old mother of three children who is being admitted on the morning of surgery for a vaginal hysterectomy with a diagnosis of benign myoma of the uterus. Mrs Edwards underwent a bilateral total hip replacement for osteoarthritis 2 years ago. What will be an ideal response?
Initial conflict resolution includes using which strategy?
1. Developing more self-confidence. 2. Avoiding the situation. 3. Questioning throughout the process. 4. Obtaining a neutral third party to assist.