The nurse is caring for a patient with acute kidney injury who is being treated with hemodialysis. The patient asks if he will need dialysis for the rest of his life. Which of the following would be the best response?
a. "Unfortunately, kidney injury is not reversible; it is permanent."
b. "Kidney function usually returns within 2 weeks."
c. "You will know for sure if you start urinating a lot all at once."
d. "recovery is possible, but it may take several months."
D
Renal dysfunction is potentially reversible during the initiation phase. This phase spans several hours to 2 days, during which time the normal renal processes begin to deteriorate, but actual intrinsic renal damage has not yet occurred. During the maintenance phase, intrinsic renal damage is established, and the GFR stabilizes at approximately 5 to 10 mL/min. This phase usually lasts 8 to 14 days, but it may last up to 11 months. The longer a patient remains in this stage, the slower the recovery and the greater the chance of permanent renal damage will be. The recovery phase is the period during which the renal tissue recovers and repairs itself. A gradual increase in urine output and an improvement in laboratory values occur. Recovery may take as long as 4 to 6 months.
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Your new patient is admitted to your nursing home with a diagnosis of vascular dementia. You know that this type of dementia differs from Alzheimer's dementia is what way?
A. The progression of symptoms is predictable based on the person's heart disease. B. The progression of symptoms is more variable than Alzheimer's disease. C. Vascular dementia can be treated successfully with surgery compared to Alzheimer's disease where there is no surgical treatment. D. Vascular dementia is temporary and Alzheimer's dementia is permanent.
The nurse discovers on the preoperative assessment that the patient has a condition that would require increased amounts of general anesthesia. The condition is ____________________
Fill in the blank(s) with correct word
Mr. H is concerned that this 3-year-old son only wants to eat peanut butter and jelly at every meal. The nurse should encourage him to:
1. Insist his son eats whatever food are prepared for the meal. 2. Provide his son only with peanut and butter and jelly if that is what he wants. 3. Continue to offer a variety of foods but allow him to eat the peanut butter and jelly if he prefers. 4. Allow him to get up and move around while he is eating.
A nurse midwife diagnoses postpartum depression in a new mother. The nurse midwife understands that postpartum depression:
a. is not a "true" depression and should self-correct without specific intervention b. signals inadequate maternal instincts in the mother c. may result in psychosis or infanticide d. is a strong indicator of spouse abuse by the father of the child toward the new mother