Which of the following manifestations would alert the nurse to a potentially dangerous complication in the client with chronic renal failure?
A. Nausea and vomiting
B. Soft, less audible heart sounds
C. Paresthesias of the hands and feet
D. Anemia accompanied by folic acid deficiencies
B
Soft, less audible heart sounds can signal the accumulation of fluid within the pericardial sac. Fluid accumulation results from the accumulation of uremic toxins causing inflammation of the pericardium and subsequent fluid buildup. Excessive amounts of fluid within the pericardial sac can result in cardiac tamponade, a medical-surgical emergency.
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In a disaster, it is most important that the:
a. clients are sent home quickly. b. medications and supplies are secure. c. nurses and their families feel safe. d. security department increases its work-force.
A problem for nurses conducting quasi-experimental or experimental research is that many times a patient cannot ethically be left without a treatment. What is the best solution for this problem?
a. Control for the situation statistically. b. Create placebo treatments. c. Ensure all patients receive the standard of care. d. Use other research designs as often as possible.
The nurse is assessing an 82-year-old African American male with sickle cell anemia and notes the sclera of his eyes to be yellow. The nurse correctly interprets this finding as:
a. sickle cell crisis. b. anemia. c. jaundice. d. a normal occurrence.
A human immunodeficiency virus (HIV)-positive patient taking highly active antiretroviral therapy informs you that she is now pregnant. What advice regarding drug therapy do you give this patient?
a. "Stop taking these drugs for your entire pregnancy." b. "Stop taking these drugs for the first trimester and start again for the second and third trimesters." c. "Continue to take these drugs throughout your pregnancy exactly as they have been prescribed." d. "It will be necessary to double your dosages of these drugs to ensure your unborn baby is adequately protected."