Which of the following are not commonly associated with changes related to pregnancy?
a. glycosuria and proteinuria
b. elevated blood urea nitrogen (BUN) and creatinine
c. urinary frequency and nocturia
d. urinary tract infection
B
Secondary to the increased intravascular volume, the glomerular filtration rate (GFR) increases by approximately 50% and the reabsorption rate of various chemicals, especially sodium and water, changes. Urinary frequency usually increases in the first trimester. Glycosuria, glucose in the urine, is common in pregnancy. There is also an increased loss of amino acids that can show as proteinuria on a urine dipstick. The risk of urinary tract infection rises, and nocturia, excessive nighttime urination, can disrupt the pregnant woman's sleep.
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Which of the following statements is true about a safe, effective care environment for older adults?
a. Cold beer with steak and potatoes is a good meal for an older adult on a hot day. b. Older drivers are more likely to be in a fatal motor vehicle accident than younger drivers. c. Barrier-free buses and low fares make public transit a safe transportation option. d. A nurse's perception of temperature is a useful guide for patient thermal needs.
A newly appointed nurse manager has just completed education on time-management skills. Which statement would the instructor evaluate as indicating this nurse understands the basic concepts of time management?
1. "My job as a nurse manager is so dynamic that I probably will not be able to attain true time management." 2. "The key to using time management is to respect my time as well as the time of others." 3. "If I am going to be able to manage time, the hospital will need to invest in a computer-based time-management system." 4. "The most important aspect of time management for me is to manage paperwork flow."
A client has received a terminal diagnosis and tells the nurse, "Why is God angry with me? Do I deserve this punishment?" Which nursing diagnosis is MOST appropriate for this client?
a. Readiness for enhanced religiosity b. Acute sorrow c. Readiness for enhanced spiritual well-being d. Spiritual distress
Which acid-base imbalance should the nurse be most alert for when providing care to a client who has several broken ribs?
A. Respiratory alkalosis from anxiety B. Respiratory acidosis from inadequate ventilation C. Metabolic acidosis as a result of calcium loss from broken bones D. Metabolic alkalosis as a result of ingesting base-containing analgesics