The client with glomerulonephritis has developed acute renal failure (ARF) as a complication. The nurse would expect to note which of the following abnormal findings documented on the client's medical record?
1. Decreased cardiac output
2. Hypertension
3. Bradycardia
4. Decreased central venous pressure
2
Rationale: ARF caused by glomerulonephritis is classified as an intrinsic or intrarenal cause of renal failure. It is commonly manifested by hypertension, tachycardia, oliguria, lethargy, edema, and other signs of fluid overload. ARF from a prerenal cause is characterized by decreased blood pressure, tachycardia, decreased cardiac output, and decreased central venous pressure. Bradycardia is not part of the clinical picture for any form of renal failure.
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A school-age child presents with crampy lower abdominal pain, uveitis, and arthralgias. Which diagnostic test does the nurse prepare the patient and parents for based on the assessment findings?
A. Colonoscopy B. Flat plate of the abdomen C. Gastric biopsy D. Nuclear medicine scan
The patient's monitor shows bradycardia (heart rate of 40 beats/min) and frequent premature ventricular contractions (PVCs) with a measured blood pressure of 85/50 mm Hg. The nurse anticipates the use of which drug?
a. Atropine 0.5 to 1 mg intravenous push b. Dopamine drip—continuous infusion c. Lidocaine 1 mg/kg intravenous push d. Transcutaneous pacemaker
To determine the effects of therapy for a patient who is being treated for heart failure, which la-boratory result will the nurse plan to review?
a. Troponin b. Homocysteine (Hcy) c. Low-density lipoprotein (LDL) d. B-type natriuretic peptide (BNP)
For psychiatric nurses in the 1980s and 1990s, the scope of practice began to change to include:
a. psychiatric care and medical care given by the home care nurse. b. new advances in the fields of psychobiology and technology. c. psychoanalytical therapy provided by the psychiatric nurse in the outpatient setting. d. new advances in the psychodynamic model of therapy made by the psychiatric nurse in the inpatient setting.