A nurse is assessing a client for signs of decreased kidney function. Which of the following are symptoms of possible decreased kidney function? (Select all that apply.)
1. Increased appetite
2. Metallic taste in the mouth
3. Pruritus
4. Reduced energy level
5. Urine output of 240 mL in 8 hours
6. Weight gain
2, 3, 4, 6
Signs of decreased kidney function are a reduced energy level, metallic taste in the mouth, anorexia, nausea, pruritus, decreased ability to concentrate, decreased urine output, and weight gain from fluid retention. Increased appetite and urine output of 240 mL in 8 hours are not seen in a client with decreased kidney function.
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A home health agency has a policy requiring nurses to make routine visits at night. How might politics be used to change this policy?
1. Make visits during the day and tell the supervisor that the clients are not home at night. 2. Obtain research material to provide reasons why routine nursing visits at night are not as effective as during the day. 3. Encourage others to refuse to make routine visits at night so you will not be alone. 4. Take the supervisor to lunch and invite all the staff to join to talk the supervisor into changing the policy.
The patient has been given an antithyroid drug called propylthiouracil. Appropriate nursing Implementations include:
1. using special radioactive precautions for her urine for the first 24 hours. 2. monitoring her vital signs and withholding the medications if her pulse is >100 beats/min. 3. teaching her to watch for and report any signs and symptoms of hypothyroidism or infections. 4. keeping her on a low-calorie, low-protein diet.
A patient is diagnosed with an open compound fracture and is scheduled for immediate surgery. On which problems should the nurse focus during the patient's immediate postoperative period?
1. difficulty with mobility 2. anxiety related to the surgical procedure 3. potential for infection 4. possibility of falling
The nurse must be alert for signs of overhydration in preterm newborns. Which sign(s) or symptom(s) would suggest fluid overload? (Select all that apply.)
a. Urine specific gravity <1.001 b. Increased weight gain c. Depressed fontanelles d. Edema e. Urinary output <1 mL/kg/hour f. Poor tissue turgor g. Rales