When should a nursing assistant ask an adult patient's visitor to leave the room?
A) Only if the patient requests the visitor to leave
B) Any time a procedure is performed
C) Only if the visitor appears uncomfortable
D) Before nursing shift changes
B
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The most appropriate response for the nurse to make when a client with fluctuating levels of
consciousness, disturbed orientation, and perceptual alterations begs to have someone get the bugs off her would be a. "There are no bugs on your legs. Your imagination is playing tricks on you.". b. "Try to relax. The crawling sensation will go away sooner if you can relax.". c. "Don't worry, I will have someone stay here and brush away the bugs for you.". d. "I don't see any bugs, but I know you are frightened so I will stay with you.".
A patient has just returned to the postsurgical unit from post-anesthetic recovery after breast surgery for removal of a malignancy. What is the most likely major nursing diagnosis to include in this patient's immediate plan of care?
A) Acute pain related to tissue manipulation and incision B) Ineffective coping related to surgery C) Risk for trauma related to post-surgical injury D) Chronic sorrow related to change in body image
Which statement is true regarding urodilatin?
a. Urodilatin inhibits sodium chloride and water reabsorption in the medullary part of the collecting duct. b. It inhibits antidiuretic hormone (ADH) to prevent water reabsorption in the medullary part of the collecting duct. c. Urodilatin is stimulated by a rise in blood pressure and an increase in extracellular volume. d. It is stimulated by a fall in blood pressure and a decrease in extracellular volume.
The nurse is reviewing a patient's laboratory results. In the early phase of CKD, the patient is at risk for which electrolyte abnormality?
a. Hyperkalemia b. Hyponatremia c. Hypercalcemia d. Hypokalemia