A client has experienced kidney stones several times over the last few years. Which information should the nurse emphasize to help prevent the recurrence of stones in this client?
a. Increase fluid intake
b. Maintain a high sodium diet
c. Avoid calcium containing foods
d. Increase proteins from animal sources
a. Increase fluid intake
The primary dietary intervention to prevent kidney stones is the increase of fluid intake since precipitation and aggregation of crystals is less likely in dilute urine. Normal calcium intake is appropriate in the diet and should not be restricted to avoid the development of osteoporosis. Sodium should be limited to 2,300—3,450 mg/day to avoid competition at the renal tubule for calcium reabsorption. Protein from animal sources should be limited in clients prone to calcium oxalate and uric acid stones.
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Max Weber, a well-known German sociologist, began to study large-scale organizations to determine what made some more efficient than others. What was his conclusion?
A) Workers had to have a say in management to work most effectively. B) Consistent rules and regulations for workers increased efficiency. C) Employees should feel appreciated and valued. D) Workers need frequent rest periods to increase overall production.
Unlicensed personnel are not licensed by the state in their own right. Why is it that these persons can perform delegated tasks?
1. They practice on the license of the professionals delegating the tasks. 2. They are sanctioned by the American Hospital Association as an exception to the requirement for a license. 3. They work under the auspices and licensure of the institution, not the professional nurse. 4. They are sanctioned by the state nurse practice act as an exception to the requirement for licensure.
Which characteristics of the primary nursing model make it a good match with the goals of the IOM and National Quality Forum? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. There are fewer RNs, so care is less expensive. 2. Primary nursing creates new possibilities for collaborative success. 3. Primary nursing supports efforts to make patient care safer. 4. The model allows the nurse to coordinate care across many disciplines. 5. Primary nursing reduces the need for communication and documentation.
A nurse is assigned to care for a client in the coronary care unit of a healthcare facility. What essential skills should the nurse possess to provide efficient care to clients in coronary care units (CCU)?
A) Ability to provide psychosocial support and rehabilitative services B) Ability to provide cardiac care to a client with heart disorders C) Ability to care for clients undergoing observation before hospitalization D) Ability to prepare meals, keeping in mind the client's cardiac disorder