A nurse is caring for a terminally ill client. The client is exhibiting signs of multiple organ failure. Which of the following signs indicates failure of the liver?
A) Dyspnea
B) Anorexia
C) Oliguria
D) Anuria
B
Feedback:
Anorexia, impaired digestion, distention, nausea, and vomiting are some of the signs of liver failure in a client with multiple organ failure. Dyspnea is a sign of lung failure. Oliguria and anuria indicate failure of the kidneys.
You might also like to view...
The telephone triage nurse receives a call from a parent who states that her 18-month-old is making a crowing sound when he breathes and is hard to wake up. Which is the nurse's priority action?
1. Advise the parent to hang up and call 911. 2. Reassure the parent and provide instructions on home care for the child. 3. Instruct the parent to make an appointment for the child to see the health care provider. 4. Obtain the history of the illness from the parent.
The nurse sees a pattern on the fetal monitor that looks similar to early decelerations, but the deceleration begins near the acme of the contraction and continues well beyond the end of the contraction
Which nursing action indicates the proper evaluation of this situation? a. Continue to monitor these early decelerations, which occur as the fetal head is compressed during a contraction. b. This deceleration pattern is associated with uteroplacental insufficiency, so the nurse acts quickly to improve placental blood flow and fetal oxygen supply. c. This pattern reflects variable decelerations. No interventions are necessary at this time. d. Document this reassuring fetal heart rate pattern but decrease the rate of the intravenous fluid.
A nurse practitioner wishes to send e-mail to all clients on a distribution list without displaying the e-mail addresses of those on the list to the recipients. Which of the following will appropriately accomplish this task?
1. Include the nurse practitioner's e-mail address as primary recipient and the client addresses as carbon copies (CC). 2. The nurse practitioner must send a separate message to each individual client as primary recipient. 3. Include the nurse practitioner's e-mail address as primary recipient and the client addresses as blind copies (BCC). 4. Include the recipient e-mail addresses as primary recipients and the nurse practitioner's address as a blind copy (BCC).
Megan is caring for a neonate. Megan assesses the possibility of necrotizing enterocolitis (NEC) because the premie is exhibiting the generalized assessment of:
1. Hypertonia, tachycardia, and metabolic alkalosis. 2. Abdominal distention, temperature instability, and bloody stools. 3. Hypertension, apnea, and ruddy skin color. 4. No residual feedings and increased urinary output.