The client is complaining of a metallic taste in their mouth, muscle cramping, and itching skin. The client has been recently diagnosed with renal failure. Which of the following findings is expected by the nurse? (Select all that apply.)
1. Complaints of malaise and fatigue
2. Complaints of generalized weakness
3. Increased blood urea nitrogen levels
4. Decreased creatinine levels
5. Increased serum amylase levels
1, 2, 3
Rationale: This client is experiencing signs and symptoms of uremia associated with renal failure. Nausea, vomiting, and a decreased intake of protein often accompany these signs and symptoms. The client will complain of malaise, fatigue, weakness, and muscle cramping. Their blood urea nitrogen and creatinine levels will be increased. Amylase levels can increase with pancreatic disorders.
You might also like to view...
A nurse cares for a client after radiation therapy for lung cancer. The client reports a sore throat. Which action should the nurse take first?
a. Ask the client to gargle with mouthwash containing lidocaine. b. Administer prescribed intravenous pain medications. c. Explain that soreness is normal and will improve in a couple days. d. Assess the client's neck for redness and swelling.
After teaching a client how to use an estradiol transdermal system, the nurse determines that the teaching was successful when the client states which of the following? Select all that apply
A) "I can put the patch on my breasts." B) "I should rotate the sites, staying away from the same site for about a week." C) "When I apply it, I should rub the patch vigorously for about 10 seconds." D) "I apply the patch immediately after I open the pouch." E) "If the area is oily or irritated, I need to avoid that area."
. A client who is learning about electroconvulsive therapy (ECT) asks a nurse, "Isn't this treatment dangerous?" Which is the most appropriate nursing reply?
A. "No, this treatment is side-effect free." B. "There can be temporary paralysis, but full functioning returns within 3 hours of treatment." C. "There are some risks, but a thorough examination will determine your candidacy for ECT." D. "Transient ischemic attacks (TIAs) can occur but are rare."
What is the reason for the contraindication of ganglionic blockers in patients with glaucoma?
A. Ganglionic blockers have a miotic effect that increases intraocular pressure. B. Ganglionic blockers have a mydriatic effect that decreases intraocular fluid. C. Ganglionic blockers have a mydriatic effect that increases intraocular pressure. D. None of these are correct.