4. A patient has a glomerular filtration rate (GFR) of 19 mL/min/1.73m2. What assessment findings correlate with this condition? (Select all that apply.)
a. Fatigue
b. Weakness
c. Edema
d. No specific symptoms
e. Headaches
A, B, C
This patient is in stage 4 of chronic kidney disease. Expected assessment findings include weak-ness, edema, fatigue, hypertension, heart failure, impaired cognition and immune function, dry skin and pruritus, anorexia, nausea, malnutrition, increased bleeding, anemia, peripheral neuro-pathy, and an overall decreased quality of life. In stages 1 and 2, patients are asymptomatic. Headache is not a finding.
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A nurse uses Urie Bronfenbrenner's theory to guide practice. In order to determine a child's microsystem, which items should the nurse assess? (Select all that apply.)
A. Dynamics between school and home B. Family C. Peer group D. Parental job status E. School
Which situations are examples of the nurse directing rather than delegating? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. A nurse manager asks a staff nurse to participate in a standing hospital committee. 2. A staff nurse asks the assistant to sit with the roommate of a client who has just died. 3. During a code blue situation, a nurse tells another nurse to start an IV. 4. A nurse tells an assistant to move a client into the hallway during severe weather. 5. A nurse reminds assistants of standard protocol for evacuation in case of fire.
A patient with Parkinson's disease has been achieving effective symptom control with levodopa (Dopar) but complains that the symptoms begin to return before it is time for the next dose
"The drug just wears off," he states. The nurse should anticipate that the prescriber will order the patient to a. take the levodopa at shorter dosing intervals. b. start taking a drug that reduces levodopa's half-life. c. take levodopa at longer dosing intervals. d. increase the dose to increase receptor binding.
What factors result in rural residents having less access to health care than urban dwellers?
a. Employment opportunities may be low paying and seasonal. b. Greater distances to travel and limited choice of health care providers c. Health care providers prefer to work in higher-paying urban settings. d. Rural residents are less likely to have health insurance. e. Rural persons' economic resources are tied up in land, not easily accessible cash. f. Rural persons believe in self-sufficiency and self-care, not asking others for help.