When assessing the blood urea nitrogen (BUN) of a patient, the nurse needs to be aware of factors that can influence the BUN level, which include
A) cardiac output.
B) neurovascular changes.
C) volume depletion of the patient.
D) use of sedatives.
C
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The nurse on a bone marrow transplant unit is caring for a patient with cancer who is preparing for engraphment for a bone marrow transplant. What is a priority nursing diagnosis for this patient?
A) Fatigue and activity intolerance B) Altered nutrition: less than body requirements due to anorexia C) Risk for infection related to altered immunologic response D) Body image disturbance related to weight loss and anorexia
When an 88-year-old patient enters the room for her health assessment, she walks with tiny steps, her shoulders are rounded and hunched, and her arms are crossed in front of her with her hands tucked in her armpits
Which response by the nurse is most appropriate? a. "Are you cold?" b. "Does your stomach hurt?" c. "Are your shoes too small?" d. "Do you always walk like that?"
A nurse is providing an in-service educational program for beginning nurses regarding mental health assessment needs of older adults. One of the topics addressed is the importance of interviewing family members in addition to the older adult client
The nurse tells the audience that family members are sometimes able to give a more accurate history than the client himself if the client has memory impairment. The nurse also emphasizes that interviewing family members provides which of the following? A) A more accurate picture of the social support resources available B) Evaluation of the family's ability to effectively care for the older client C) Determination of the extent of the client's memory impairment D) A much-needed period of respite and support for the family members
The nurse is caring for a patient with hypovolemic shock. In which way will this patient's heart sounds change?
A. No change in S1 or S2 B. Diminished S1 and S2 C. Diminished S2 D. Accentuated S2