The nurse is caring for a client with type 1 diabetes who has been diagnosed with end-stage renal disease (ESRD). The nurse regularly assesses the client for which of the following? (Select all that apply.)
1. Nausea
2. Polyuria
3. Lethargy
4. Vomiting
5. Confusion
6. Headache
ANS: 1, 3, 4, 5, 6
Diseases that cause irreversible damage to kidney tissue result in end-stage renal disease (ESRD). Eventually the client has symptoms resulting from uremic syndrome. An increase in nitrogenous wastes in the blood, marked fluid and electrolyte abnormalities, oliguria, nausea, vomiting, headache, drowsiness, coma, and convulsions characterize this syndrome.
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A client makes the following statement during a mental status assessment: "I can't use the phones; the CIA has bugged all the wires." Which of the following categories will the nurse use to document the client's response?
1. Orientation 2. Content of thought 3. Emotional state 4. General behavior
A 28-year-old client is diagnosed with endometriosis and is experiencing severe symptoms. Which actions by the nurse are the most appropriate at this time? (Select all that apply.)
a. Reduce the pain by low-level heat. b. Discuss the high risk of infertility with this diagnosis. c. Relieve anxiety by relaxation techniques and education. d. Discuss in detail the side effects of laparoscopic surgery. e. Suggest resources such as the Endometriosis Association.
Which of the following would be important to monitor in a child receiving methylphenidate for treatment of attention deficit-hyperactivity disorder (ADHD)?
a. Liver function b. Vision c. Growth parameters d. Renal function
There are different ways in which bacteria are classified. The nurse educator is reviewing with a group of nursing students the categories of different bacteria. What is the best response by a student nurse about the category for bacillus bacteria?
A) Round or spherical bacterium B) Rod-shaped bacterium C) Spiral-shaped bacterium D) Square-shaped bacterium