A patient in the ICU is found to have a steady glomerular filtration rate (GFR) of 180 L/day. Over the first 3 days following admission, his urine volume averages 1 L per day
On the fourth day, however, his urine volume drops to almost zero, while his GFR remains constant. The nurse recognizes that which of the following is the most likely explanation of this phenomenon?
A) Chronic kidney disease
B) Abdominal compartment syndrome
C) Renal artery stenosis
D) Pulmonary edema
B
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When screening sixth- through eighth-grade children for idiopathic scoliosis, the nurse would look for which of the following signs or symptoms?
1. Sides of the back appear different in height when bending forward. 2. Complaint of back pain when attempting to straighten posture 3. Any changes in bladder of bowel habits from usual habits 4. A variety of types of leg pain on walking—e.g., burning, sharp, dull
The nurse's plan of care for a patient with stage 3 HIV addresses the diagnosis of Risk for Impaired Skin Integrity Related to Candidiasis. What nursing intervention best addresses this risk?
A) Providing thorough oral care before and after meals B) Administering prophylactic antibiotics C) Promoting nutrition and adequate fluid intake D) Applying skin emollients as needed
Following a hypophysectomy for a pituitary tumor, the client is monitored for the presence of diabetes insipidus. Which finding indicates this condition?
1. Hyponatremia 2. Fluid retention and dependent edema 3. A large amount of dilute urine 4. A rise in blood pressure
Persons with dementia get clues from your body language.
Answer the following statement true (T) or false (F)