The patient is complaining of severe flank pain when he tries to urinate. His urinalysis shows sediment and crystals along with a few bacteria
Using this information along with the clinical picture, the nurse realizes that the patient's condition is: a. prerenal.
b. postrenal.
c. intrarenal.
d. not renal related.
B
Analysis of urinary sediment and electrolyte levels is helpful in distinguishing among the various causes of acute kidney injury. Postrenal conditions may present with stones, crystals, sediment, bacteria, and clots from the obstruction. Coarse, muddy brown granular casts are classic findings in ATN (intrarenal), along with microscopic hematuria and a small amount of protein. In prerenal conditions, the urine typically has no cells but may contain hyaline casts. The flank pain and urinalysis definitely indicate a renal condition.
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A team member is considered competent and successful when:
1. the team member is either a RN or a LPN. 2. the team member is an expert in all areas of patient care. 3. the team member is pleasant and easy to work with. 4. the team member is expert in a skill desired by the team.
The nurse wants to ensure "wholeness" when caring for patients. Which term best defines "wholeness" as it relates to the work of the nurse healer?
A) Optimal function B) Maximal self-care C) Spiritual well-being D) Physiological integrity
The nurse explains that drugs such as cannabinoids, Benadryl, and Vistaril are frequently ordered for cancer patients to help:
1. promote amnesia to dampen the fears of dying and loss of financial income. 2. maintain fluid retention to prevent dehydration. 3. control nausea, vomiting, and taste disorders caused by therapy. 4. control bouts of diarrhea or uncomfortable constipation.
The client returning to the clinic for a follow-up visit 3 weeks after abdominal surgery is concerned because she can feel small, uneven lumps under the suture line of the incision. What is the nurse's best response?
A. "Avoid touching those areas because you may dislodge the blood clots that keep your incision from bleeding." B. "What you are feeling is growth of new tissue proceeding at different rates in the incision." C. "Those are the deep stitches the surgeon placed, and they will eventually be ab-sorbed and disappear." D. "Keep the incision covered for as long as those lumps can be felt."