A patient with prerenal azotemia is administered a fluid challenge. In evaluating response to the therapy, which outcome indicates the goal was met?
a. Patient reports feeling better and indicates an eagerness to go home.
b. Patient produces urine soon after the initial bolus.
c. The therapy is completed without adverse effects.
d. The health care provider orders diuretic when the challenge is completed.
Answer: b. Patient produces urine soon after the initial bolus.
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Based on a patient's vague explanations for recurring injuries, the nurse suspects that a community-dwelling older adult may be the victim of abuse. What is the nurse's primary responsibility?
A) Report the findings to adult protective services. B) Confront the suspected perpetrator. C) Gather evidence to corroborate the abuse. D) Work with the family to promote healthy conflict resolution.
The nurse is caring for a 24-year-old client newly diagnosed with schizophrenia. The client asks, "How could this be happening
What is wrong with my brain?" The nurse is most correct to identify which neurotransmitter as having the highest imbalance? A) Acetylcholine B) Dopamine C) Serotonin D) Gamma-aminobutyric acid
A major nursing responsibility in milieu management of a unit for older adults diagnosed with psychiatric disorders is to
a. provide cognitive-behavior therapy (CBT) for all patients. b. provide unconditional acceptance of all behavior. c. prevent isolation, withdrawal, and deterioration. d. limit time spent in reminiscence.
A community health nurse suspects that a client who was a victim of a disaster 3 months ago is experiencing post-traumatic stress disorder. Which of the following would the nurse expect to find? Select all that apply
A) Diminished startle response B) Hypervigilance C) Feelings of detachment D) Flashbacks E) Full range of affect