When a client progresses to stage 5 renal disease, the nurse should conduct frequent nutritional assessments and provide education on the importance of an adequate nutritional intake to prevent:
1. Hyperglycemia.
2. Fat catabolism.
3. Hypertension.
4. Hyperlipidemia.
2
Rationale: Hyperglycemia, hypertension, and hyperlipidemia are frequent problems for clients post–kidney transplant, and are usually the result of adverse effects from immunosuppressive therapy. For clients on dialysis, fat catabolism occurs in the absence of adequate nutritional intake and can result wasting and the loss of lean muscle mass.
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A woman tells the BSN-prepared community health nurse that she and her son fight all the time since the son started using drugs. The son tells his mother that his drug use is none of her business
Which initial response by the nurse would be most appropriate? a. Have separate, informal, nonjudgmental conversations with the mother and the son about their respective concerns. b. Initiate family therapy with the family unit, focusing on dysfunctional communication patterns. c. Advise the mother to motivate her son by telling him that if he doesn't get drug abuse treatment, she'll report him to the police. d. Discuss the dangers of substance abuse with the son, and then refer him to substance abuse treatment providers.
A patient is admitted to the critical care unit with acute respiratory failure
Upon auscultation, the health care provider hears creaking, leathery, coarse breath sounds in the lower anterolateral chest area during inspiration and expiration. The nurse suspects that the patient has a(n) a. emphysema. b. atelectasis. c. pulmonary fibrosis. d. pleural friction rub.
The nurse contacts the client's case manager to provide information about the client's hospital treatment plan. This is an example of which type of advocacy?
a. Role modeling b. Educational informing c. Collaboration d. Anticipatory guidance
The nurse seeks to involve the adolescent father in the prenatal care of his girlfriend. The rationale for this nursing strategy includes:
1. Increasing the self-care behaviors of the pregnant teen. 2. Avoiding conflict between the adolescent father and pregnant teen. 3. Improving the long-term outcome of the relationship. 4. Avoiding legal action by the adolescent father's family.