Identify the additional assessment the nurse should make when the serum uric acid level of a 64-year-old man is 12.8 mg/dL
a. Glasgow coma scale each shift
b. Heart sounds every 4 hours for murmurs and clicks
c. Flank region every 12 hours for kidney tenderness
d. Joints for tenderness and swelling
D
You might also like to view...
A nurse gives the example of when an individual becomes frightened and experiences an increased heart rate and mental activity along with increased blood flow to the skeletal muscles and dilated pupils
The person is experiencing an alarm reaction that helps the body defend against stressors. What type of response is the alarm reaction considered? a. Positive feedback response b. Negative feedback response c. Fight-or-flight response d. Homeostasis response
The nurse is caring for a patient with head trauma who was admitted to the surgical intensive care unit following a motorcycle crash
What is an important assessment that will assist the nurse in early identification of an endocrine disorder commonly associated with this condition? a. Daily weight b. Fingerstick glucose c. Lung sound auscultation d. Urine osmolality
As a nurse manager, you have hired two new staff members who have recently come to the United States from other countries. Which of the following strategies might indicate your efforts to assist these staff members with acculturation to your unit?
a. Analyze a recent situation with them in which an order with a physician was not clarified and explore their beliefs about nurse-physician relationships. b. Expect them to behave in ways that are expected of staff who have grown up and been educated in the United States. c. Stress to these new staff that your unit is a "family" and that staff members take pride in saying that they are from Unit 4. d. Recognize that culture develops over time and leave them alone to figure out differ-ences between their culture and that of the unit.
A client asks the RN why it is more difficult to use a bedpan for defecating than to sit on the toilet. Which of the following is the best response?
A) "The sitting position increases the downward pressure on the rectum, making it easier to pass stool." B) "The sitting position increases the pressure within the abdomen." C) "The sitting position decreases the contractions of the muscles of the pelvic floor." D) "The sitting position inhibits the urge to urinate, allowing one to defecate."