A client is admitted to a medical unit with the primary diagnosis of acute pyelonephritis. Which assessment findings does the nurse anticipate? Select all that apply.
A) Headache
B) Fever
C) Chills
D) Abdominal pain
E) Costovertebral angle pain
B) Fever
C) Chills
E) Costovertebral angle pain
Explanation: A) Abdominal pain and headache are not universal symptoms of acute pyelonephritis.
B) Individuals with acute pyelonephritis often present with fever, chills, and costovertebral angle pain.
C) Individuals with acute pyelonephritis often present with fever, chills, and costovertebral angle pain.
D) Abdominal pain and headache are not universal symptoms of acute pyelonephritis.
E) Individuals with acute pyelonephritis often present with fever, chills, and costovertebral angle pain.
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Patients experiencing DKA (diabetic ketoacidosis) demonstrate a much higher level of ketoacidosis than patients experiencing HHS (hyperosmolar hyperglycemic state). Why does this occur?
A) Patients with HHS produce just enough insulin to prevent ketosis. B) Only patients with Type 1 diabetes experience ketoacidosis. C) HHS develops too quickly to build up a high level of ketoacidosis. D) The fluid loss in HHS is too mild to allow a high level of ketoacidosis.
A patient has been transferred to a rehabilitative setting from an acute care unit. What is the most important reason for the nurse to begin a program for activities of daily living (ADLs) as soon as the patient is admitted to a rehabilitation facility?
A) The ability to perform ADLs may be the key to dependence. B) The ability to perform ADLs is essential to living in a group home. C) The ability to perform ADLs may be the key to reentry into the community. D) The ability to perform ADLs is necessary to function in an assisted-living situation.
Which of the following is a vital component of the therapeutic milieu in mental health treatment?
A) Dependency B) Biofeedback C) Consistency D) Electroconvulsive therapy
Which interview information could indicate the need for further assessment of a potential problem with a patient's family functioning?
a. The patient spends time away from the family, taking both a weekly art and dance class. b. Every other week, the patient visits aging parents who live 1 hour away. c. The patient and spouse resolve problems on their own, although it often takes several hours. d. The patient often grounds the children for misbehavior in an attempt to raise them "the right way.".