The nurse is reviewing laboratory results of a patient who had surgery 2 days ago. The nurse notes that the C-reactive protein is elevated. What potential problem does this finding indicate?
a. Impending infection
b. Possible hemorrhage
c. A drug allergic reaction
d. Fluid deficit
A
Since inflammation is an early response to infection, an elevation of the C-reactive protein (which elevates with inflammation) is an indicator of possible impending infection. C-reactive protein is not directly related to hemorrhage, drug reaction, or fluid deficit.
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When providing care to a client taking isoniazid (INH), the nurse would monitor the client carefully for which of the following that indicate toxicity? Select all that apply
A) Peripheral neuropathy B) Visual changes C) Nausea D) Vomiting E) Hepatitis
A client is suspected of having a disease process affecting the functional unit of the kidney. Which structure is most likely involved?
A) Glomerulus B) Bowman's capsule C) Loop of Henle D) Nephron
The nurse is instructing a client with hypertension about foods that are low in sodium. Which menu selections by the client indicate to the nurse that the client understands what has been taught?
A. Spaghetti with fresh tomatoes B. Boiled lobster with baked potato C. Grilled chicken with turnip greens D. Instant hot cereal with bacon E. Tomato soup with a ham sandwich
Which assessment data would cause the nurse to suspect that a 3-year-old child has Hirschsprung disease?
1. Clay-colored stools and dark urine 2. History of early passage of meconium in the newborn period 3. History of chronic, progressive constipation and failure to gain weight 4. Continual bouts of foul-smelling diarrhea