An older patient has an elevated blood urea nitrogen (BUN) level, but the creatinine clearance is within normal limits. The nurse notes that the patient's appetite has been poor the past few days
What should the nurse do about these laboratory findings? 1. Assess urine output.
2. Inform the physician of the BUN result.
3. Assess intake and output and dietary intake of protein.
4. Monitor for medication side effects related to decreased excretion by the kidneys.
3
Rationale: Urine output alone would not provide enough information related to the patient's hydration status.
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A nurse is documenting care in the chart of an inpatient psychiatric client. The nurse charts: "Refusing all group and individual interactions. States wants to be 'left alone.'" According to Focus Charting®, this is considered:
A) Data. B) Focus. C) Action. D) Response.
A patient receiving a sitz bath complains of light-headedness to the nurse. What is the intervention that should be implemented in this situation?
A) This is a normal effect of a sitz bath and the bath should be continued after reassuring the patient. B) Stop the sitz bath, call for help, and help the patient to the toilet to sit down. C) Stop the sitz bath and help the patient ambulate back to the patient room. D) Call for a code blue because the patient is experiencing symptoms of an MI.
A parent has asked the nurse about how her child can be tested for pinworms. The nurse responds by stating that which is the most common test for diagnosing pinworms in a child?
a. Lower gastrointestinal (GI) series b. Three stool specimens, at intervals of 4 days c. Observation for presence of worms after child defecates d. Laboratory examination of a fecal smear
The nurse provides comfort measures to maintain normal body temperature and reduce pain and anxiety for a patient who is experiencing shock. Which of the following benefits do these measures provide?
a. Decreased fluid volume b. Increased fluid volume c. Decreased oxygen demand d. Increased oxygen demand