A patient with a history of alcoholism and esophageal varices was admitted to the intensive care unit and developed multiple organ dysfunction syndrome
Which of the following laboratory results would confirm the nurse's suspicion of hepatic involvement? 1. increased serum bilirubin
2. increased fibrinogen level
3. increased serum albumin
4. decreased serum bilirubin
1
Rationale: Hepatic failure involves progressive dysfunction in liver functions. Abnormalities of its synthesizing functions include low serum albumin, fibrinogen, and other clotting factors. Liver dysfunction typically manifests as high levels of serum bilirubin. An increased serum bilirubin level would confirm the suspicion of hepatic involvement. The other laboratory results would not confirm hepatic involvement.
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The nurse working in an obstetrician's office determines that which clients have high-risk pregnancy? Select all that apply. Standard Text: Select all that apply
1. The woman recovering from a gastrointestinal virus 2. The woman who had a healthy baby six months ago resulting from a healthy pregnancy 3. The woman who lives in an urban area in a high-rise apartment 4. The unmarried 14-year-old woman living in a rural area 5. The woman who drinks one cup of coffee every morning
A 75-year-old is a new attendee at strength training class. Which of the following schedules is most appropriate for this client?
A) Eight repetitions for each muscle group at least twice weekly on the weight machines. B) Eight repetitions of both push-ups and pull-ups at least twice weekly. C) Twelve repetitions with low-weight free weights at least twice weekly. D) Strength training once a week, and resistance and isometric training twice weekly.
List three assumptions of Hill's original stress model that relate to family-focused care
Fill in the blank with the appropriate word.
Which information will the nurse include when teaching a patient who has developed a small vesicovaginal fistula 2 weeks into the postpartum period?
a. Take stool softeners to prevent fecal contamination of the vagina. b. Limit oral fluid intake to minimize the quantity of urinary drainage. c. Change the perineal pad frequently to prevent perineal skin breakdown. d. Call the health care provider immediately if urine drains from the vagina.