The patient has cirrhosis of the liver and an albumin/globulin ratio of 0.9 g/dL. The normal ratio is 1.2 to 2.2 g/dL. In collecting objective data for her, the nurse would probably note which outstanding clinical sign?
a. Jaundice
b. Edema
c. Pruritus
d. Pallor
B
Low serum albumin levels result also from excessive loss of albumin into urine or into third-space volumes, causing ascites or edema.
You might also like to view...
What technique would the nurse use to assist a client with acute low back pain into the Williams position?
A. Place the client in a supine position with the legs elevated. B. Place the client in a high-Fowler's position with the legs elevated. C. Place the client in a supine position and have the client flex the knees. D. Place the client in a semi-Fowler's position and have the client flex the knees.
A client is admitted after a fall that has resulted in spinal shock. When asked by the client's family how long the existing paralysis is likely to last, the nurse's response is based on the knowledge that:
1. The severity of the injuries cannot be determined until the spinal shock resolves. 2. Spinal shock is irreversible and the paralysis is likely to be permanent. 3. There will likely be some minor improvement in the degree of paralysis. 4. Spinal shock usually results in temporary paralysis.
The nurse determines that the client's urinary output is 150 ml for 8 hours from the suprapubic catheter. Which does the nurse implement as a follow-up nursing intervention?
1. Encourage coughing and deep breathing. 2. Clamp the urinary catheter for 30 minutes. 3. Collaborate with the provider for a diuretic. 4. Assess client's intake and catheter patency.
The nurse is assessing the costal angle during the anterior inspection of the thorax. Which findings should the nurse anticipate?
A. 90°. B. 60°. C. 30°. D. 10°.