A client has long-standing diabetes mellitus. Which finding alerts the nurse to decreased kidney function in this client?
a. Urine specific gravity of 1.033
b. Presence of glucose in the urine
c. Presence of ketone bodies in the urine
d. Sustained elevation in blood pressure
D
Hypertension is both a cause of renal dysfunction and a result of renal dysfunction. Renal dys-function often occurs in the client with diabetes. Glucose and ketones in the urine are consistent with diabetes mellitus but are not specific to renal function. Specific gravity is elevated with de-hydration.
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Evaluation of the client's mouth must include
a. Removing dentures or other nonpermanent appliances b. A visit to the dentist c. A visual inspection of teeth, tongue, and palate d. The nurse wearing gloves for proper universal precautions
A registered nurse recently changed jobs and is now working in home health. What must the nurse chart to obtain reimbursement from Medicare, Medicaid, and private insurance companies?
a. Patient's response to care b. Whether patient had a good or bad day c. Whether family liked nurse or not d. Patient's number of marriages
Although all managers play an important role in establishing and maintaining effective management–labor relationships, which level manager has the greatest influence on preventing unionization in a nonunion organization?
A) First B) Middle C) Top D) CEO
Cough and cold medications that contain a sympathomimetic decongestant such as phenylephrine should be used cautiously in what population:
1. Older adults 2. Hypertensive patients 3. Infants 4. All of the above