A female client has recurrent urinary tract infections (UTIs). Important self-care measures the nurse could teach this client to protect her kidneys include (Select all that apply)
a. acidifying the urine by drinking cranberry juice.
b. ensuring adequate fluid intake.
c. seeking medical attention at the first sign of UTI.
d. wiping the perineal area from front to back.
A, B, C, D
All options are good health promotion measures to prevent UTIs, and hence prevent pyeloneph-ritis.
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The child has not developed the ability to respond to others. He cannot communicate his needs. He may remain dependent upon others throughout his life. He is most accurately described as having:
a. Autism b. Anxiety c. Mental retardation d. Attention-deficit disorder
Mrs. J's insurance company reimburses for a maximum of four physical therapy sessions annually. At age 62, Mrs. J is recovering slowly from hip surgery, and her nurse believes that additional sessions would enhance Mrs. J's self-care capacity
Mrs. J cannot afford to pay for additional sessions. Which of the following is the nurse's major ethical concern? A) Do I increase financial risks for health care institutions by insisting that nonreimbursed therapy be provided? B) Is the insurance company reimbursing in a manner that threatens my patient's well-being? C) Have meta-analyses shown that additional therapy sessions are cost-effective? D) Am I in compliance with the integrity requirement of the "Code of Ethics for Nurses" of the American Nurses Association?
The nurse is caring for a patient in the emergency department who complain of chest pain. While watching the telemetry monitor, the nurse notes new S-T elevation in lead II. Which labs should the nurse anticipate being ordered for this patient?
a. Cardiac troponin T b. Potassium level c. Creatine kinase (CK) d. B-type natriuretic peptide (BNP)
The client participated in thallium imaging during exercise. The nuclear camera results obtained 10 minutes later show diffuse uptake of the thallium in all areas of the heart. What is the interpretation of this finding?
A. The client has normal cardiac function at rest, but exercise induces widespread myocardial ischemia. B. The client has impaired myocardial perfusion even at rest and is at high risk for sudden cardiac death. C. The test results are inconclusive, and more invasive testing is needed to assess cardiac function. D. The test shows no myocardial scarring or impairment of myocardial perfusion.