A client is being treated for acute kidney injury. Which laboratory value should the nurse closely monitor in this client?
a. Increased glucose
b. Decreased blood urea nitrogen
c. Increased albumin
d. Decreased serum creatinine
a. Increased glucose
Clients with acute kidney injury should be monitored for glucose intolerance resulting from insulin resistance. Serum levels of both BUN and serum creatinine increase during acute and chronic kidney injury. Albumin levels decline due to fat catabolism.
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The nurse is caring for an elderly client who fell down a flight of stairs and experienced a closed head injury. Secondary to loss of respiratory drive caused by increased intracranial pressure, the client had a tracheostomy placed
When the daughter visits, she asks the nurse, "Are you making sure Dad uses his CPAP at night? Because he has sleep apnea." What is the nurse's best response? 1. "I will inform the doctor and get an order for respiratory therapy to set up a machine before bed tonight." 2. "He doesn't need his CPAP at night anymore, but I'll remind the doctor to order it just in case he has problems." 3. "CPAP was prescribed to keep the airway open. Now his tracheostomy will do that, and he won't need it until the tracheostomy is closed." 4. "When a client is critically ill and monitored on the cardiorespiratory monitor, he doesn't need his CPAP, because we'll know if he stops breathing."
A postpartal woman asks you about perineal care. Which of the following recommendations would you give?
A) Avoid using soap in her perineal care. B) Wash her perineum with her daily shower. C) Use an alcohol wipe to wash her suture line. D) Refrain from washing lochia from the suture line.
Which of the following is true of the location of the medulla oblongata?
A. It lies just above the spinal cord. B. It is located just above the thalamus. C. It lies behind the brainstem and below the cerebrum. D. It is located directly below the cerebral hemispheres.
A patient is fearful of upcoming surgery and a possible cancer diagnosis. The patient discusses love for the Bible with the nurse, who recommends a favorite Bible verse. Another nurse disagrees with this recommendation. Which would be an appropriate response to the nurse who states that there is no place in nursing for spiritual caring?
"Spiritual care should be left to a professional." "You are correct; religion is a personal decision." "Nurses should not force their religious beliefs on patients." "Spiritual, mind, and body connections can affect health."