A client with acute kidney failure becomes confused and irritable. Which does the nurse determine is the most likely cause of this behavior?
a. hyperkalemia
b. hypernatremia
c. a limited fluid intake
d. an increased BUN level
Answer: d. an increased BUN level
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When providing discharge teaching to a patient with endocarditis regarding prevention of infections, what would the nurse stress?
a. Avoid crowds. b. Take antibiotics as prescribed. c. Use only aspirin for mild pain. d. Weigh yourself daily.
The client on long-term corticosteroid therapy for rheumatoid arthritis has developed abdominal striae. What is the nurse's best action?
A. Assess the client's skin for the presence of petechiae or any other indication of hemorrhage. B. Suggest that the client apply cortisone cream to the area. C. Document the finding as the only action. D. Notify the physician.
A child is being treated for dehydration with intravenous fluids
The child currently weighs 13 kg and is estimated to have lost 7 percent of his normal body weight. The nurse is double-checking the IV rate the physician has ordered. The formula the physician used was for maintenance fluids:1000 mL for 10 kg of body weight plus 50 cc for every kg over 10 for 24 hours.Replacement fluid is the percentage of lost body weight [×] 10 per kg of body weight. According to the calculation for maintenance plus replacement fluid,this child's hourly IV rate for 24 hours should be (Write your answer below.) What will be an ideal response?
Illness and disease do not affect family dynamics and relationships
Indicate whether the statement is true or false