Which client may require a more in-depth assessment for renal disease?
a. a client on corticosteroids
b. a client with history of nephrotoxin exposure
c. a client with mild high blood pressure
d. a pregnant client with no history of renal disease
B
The client with the history of nephrotoxin exposure would require a more in-depth assessment for renal disease as exposure may have caused harm to the client's renal system. Clients on medication with mild high blood pressure and pregnancy may require a more thorough assessment.
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While performing a physical assessment, the student nurse tells her instructor that she cannot palpate her patient's bladder. Which statement by the instructor is best? "You should:
1) Try to palpate it again; it takes practice but you will locate it." 2) Palpate the patient's bladder only when it is distended by urine." 3) Document this abnormal finding on the patient's chart." 4) Immediately notify the nurse assigned to your patient."
A patient who has been admitted to your unit for urinary diversion surgery has asked to talk with you. The patient asks what complications she may have from the surgery. What would be an appropriate response by the nurse?
A) "Potential complications may include peritonitis due to continuity of anastomosis." B) "Potential complications may include stoma ischemia due to trauma." C) "Potential complications may include necrosis due to supplemented blood supply to stoma." D) "Potential complications may include stoma retraction and separation of mucocutaneous border due to tension or trauma."
The client is complaining of pain in his temporomandibular joint. During the nurse's assessment of this client, which of the following pieces of information does the nurse expect to find? Standard Text: Select all that apply
1. The client has been under a great deal of stress due to a recent divorce. 2. The client has developed hypothyroidism. 3. The client has lost tooth enamel due to nighttime teeth grinding. 4. The client has developed hypotension. 5. The client has developed severe tension headaches.
The nurse is evaluating a patient being treated for neurogenic shock after a spinal cord injury. Which assessment would the nurse evaluate as patient improvement?
1. Temperature of 97.8°F 2. Heart rate of 70 beats/min 3. Resistance to ventilator-assisted breaths 4. Pink tone to the skin