The female client's urinalysis shows all the following characteristics. Which should the nurse document as abnormal?
A. pH 5.6
B. Ketone bodies present
C. Specific gravity is 1.030
D. Two white blood cells per high-power field
B
Ketone bodies are byproducts of incomplete metabolism of fatty acids. Normally, there are no ketones in urine. Ketone bodies are produced when fat sources are used instead of glucose to provide cellular energy.
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A client admitted to the inpatient unit has a diagnosis of schizophrenia, residual type. The nursing diagnosis that has the highest priority for this client is:
1. Disturbed Thought Process 2. Impaired Social Interaction 3. Impaired Verbal Communication 4. Risk for Violence: Self-Directed or Other-Directed
The nurse recently diagnosed a client as experiencing Visual Sensory/Perceptual Alterations related to increased intraocular pressure. The priority for the plan of care would be
a. encouraging compliance with drug therapy to prevent loss of vision. b. managing the severe pain experienced until the optic nerve atrophies. c. providing anticipatory guidance regarding the eventual loss of peripheral vision. d. recognizing that damage to the eye caused by glaucoma can be reversed.
The clinic nurse is explaining to Maria, the mother of a 6-month-old child and an 18-month-old infant who are here for regular visits, about lead exposure testing
Appropriate comments from the nurse would include the following: Select all answers that apply: A) Lead testing for children is recommended by the American Academy of Pediatrics. B) About one fourth of all homes occupied by children under the age of six have lead contamination. C) Lead exposure may cause anemia. D) Both of your children will require testing for lead at this time.
A nurse understands that which type of exercise would be best for a child with juvenile arthritis?
a. Jogging b. Tennis c. Gymnastics d. Swimming in a heated pool