A client is diagnosed with autosomal dominant polycystic kidney disease. During data collection, which assessment finding would the nurse expect to discover?
1. Decreasing abdominal girth and proteinuria
2. Urinary tract infection and hypotension
3. Pain and hematuria
4. Irregularly shaped kidney and glucosuria
3
Pain and hematuria are common manifestations of autosomal dominant polycystic kidney disease. Other signs may include increasing abdominal girth, proteinuria, urinary tract infection, hypertension, and enlarged, irregularly shaped kidneys.
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A condition of debility, loss of strength and energy, and depleted vitality is known as _________________
ANS:
A 16-year-old patient in an outpatient setting with a body mass index of 35 tells the nurse, "I am going to lose weight by eliminating all fat from my diet." Which action should the nurse take first?
1. Contact the physician. 2. Notify the patient's parents. 3. Refer the patient to a dietitian. 4. Discuss the role of fat in metabolism.
John is interested in leadership positions within his nursing organization
Al-though he has been on the same unit for 10 years, he has attended two workshops during that time and has steadfastly refused opportunities to engage in leadership development opportunities or other learning offered as part of the hospital's succession planning strategy. He says that he is interested in a leadership role primarily because it will give him a more stable work schedule and will enable him to spend more time with his family. In coaching John, it would be important to: a. Affirm that his years of service and stability on the unit are the most important attributes for assumption of a leadership role. b. Reinforce that his concern with maintaining balance outside work would be a key factor in selecting him for a leadership position. c. Encourage him to consider the financial rewards of the position, as well as the positive effect on his work schedule. d. Encourage him to seek out new experiences and learning that will complement his existing strengths derived from experience and his interest in life-work balance.
A client with dementia is sleeping throughout the day at the nursing home. The client is most likely exhibiting which of the following?
A) Agnosia B) Sundown syndrome C) Confabulation D) Preservation