Which assessment finding in the client with diabetes mellitus indicates that the disease is damaging the kidneys?
A. The presence of ketone bodies in the urine during acidosis
B. The presence of glucose in the urine during hyperglycemia
C. The presence of protein in the urine during a random urinalysis
D. The presence of white blood cells in the urine during a random urinalysis
C
Urine should not contain protein, and the presence of proteinuria in a diabetic marks the begin-ning of renal problems known as diabetic nephropathy, which progresses eventually to end-stage renal disease. Chronically elevated blood glucose levels cause renal hypertension and excess kidney perfusion with leakage from the renal vasculature. The excess leakiness allows larger substances, such as proteins, to be filtered into the urine.
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Which of the following is most likely to be true about caring for an older African-American patient?
a. The patient can expect to find support from his church after discharge. b. During a physical assessment, an exami-nation of the interior of the patient's mouth with adequate light is important. c. The patient may follow hot-cold beliefs. d. African Americans may avoid eye contact when interacting with others.
The nurse is conducting a class on health promotion and uses the following definition:
"The ability to perform daily tasks vigorously and alertly, with energy left over for enjoying leisure-time activities and meeting emergency demands." Which area is the nurse stressing? 1. Physical fitness. 2. Emotional health. 3. Physical health. 4. Psychologic well-being.
A nursing student is observing an electroconvulsive therapy (ECT) procedure. The student notices a blood pressure cuff on the client's lower leg. The student questions the instructor about the cuff placement. Which is the most accurate instructor reply?
A. "The cuff has to be placed on the leg because both arms are used for intravenous fluids." B. "The cuff functions to prevent succinylcholine from reaching the foot." C. "The cuff position gives a more accurate blood pressure reading during the treatment." D. "The cuff is placed on the leg so that arms can easily be restrained during seizure."
The only known disorder where a fetus can survive despite loss of an entire X chromosome is known as:
1. Edward's syndrome. 2. Sturge-Weber syndrome. 3. Turner's syndrome. 4. William's syndrome.