When caring for the client with edema secondary to congestive heart failure, the nurse monitors which of the following as an indication of the client's ability to excrete excess fluid volume through the kidney?
1. Creatinine
2. Albumin
3. Sodium
4. Chloride
1
Rationale: Serum creatinine levels indicate the kidney's ability to function in order to excrete excess fluid volumes. Elevated creatinine levels indicate kidney damage. Lowered serum albumin levels might explain edema in clients with normally functioning kidneys, because albumin helps to hold fluid in the intravascular space. Elevated sodium levels would cause less fluid to be excreted, but would not indicate the ability of the kidneys to excrete excess fluid. Chloride does not impact kidney excretion of fluid.
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The nurse recognizes that pain assessment is an important aspect of all nursing assessments. Clients might be reluctant to self-report pain because of: Standard Text: Select all that apply
1. A fear of shots. 2. A belief that expressions of pain reveal weakness. 3. Not wanting to disturb staff. 4. A fear of addiction. 5. A fear that the nurse won't believe the pain reported.
A department manager's budget concerned with the income and expenses associated with day-to-day activities of the unit is a(n):
a. operational budget. c. construction budget. b. capital budget. d. balanced budget.
A patient recovering from a motor vehicle accident asks how so many injuries occurred when the other car "barely" made contact. How should the nurse respond?
A. "The driver of the other car intended to hit you." B. "Because you are older, your injuries will be worse." C. "The car that hit you transferred a large amount of energy to your body, causing these injuries." D. "You have other health problems that make the injuries worse."
A nurse previously set a goal of fostering transcultural nursing knowledge to provide better care for clients
Which of the following represents an action associated with the third phase of the development of transcultural nursing knowledge as defined by Leininger? A) Developing a research study about the influence of religious beliefs on health-seeking behaviors B) Implementing a different assessment tool in a mental health clinic after reading a research study about cultural barriers to thorough assessment C) Assessing the culturally mediated beliefs of each client D) Reading about Muslim and Hispanic cultures