A client presents to an urgent care center complaining of pain in his left great toe and reports a history of gout. What blood test would the RN anticipate the physician to order to assist with the diagnosis?
a. serum calcium
b. serum uric acid
c. serum phosphorus
d. lactate dehydrogenase
B
Uric acid is a nitrogenous substance resulting from the breakdown of purines. Uric acid levels are elevated in gout, metastatic cancer and rhabdomyolysis. Stress may also elevate uric acid levels.
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The nurse writes in the client's progress notes: "3/5/year 10 AM. Client brought to unit by ER nurse
Client's clothing and body are dirty. In interview room, client sat with hands over face, sobbing softly. Did not acknowledge nurse and did not reply to questions. After several minutes abruptly arose and ran to window and pounded window screen, shouting, ‘Let me out of here!' repeatedly. Verbal intervention unsuccessful. Order for stat dose 2 mg haloperidol po obtained. Medication administered with result that client stopped shouting and returned to sit wordlessly in chair. Client placed on one-to-one observation until seen by psychiatrist.". How should this documentation be evaluated? a. Meets agency standards b. Contains subjective material c. Too brief to be of value d. Excessively wordy
The woman's family members are present when the nurse arrives for a postpartum and newborn visit. What should the nurse do?
1. Observe interactions of family members with the newborn and one another. 2. Ask the woman to meet with her and the baby alone. 3. Do a brief assessment on all family members present. 4. Reschedule the visit for another time so that the mother and infant can be as-sessed privately.
The nurse assessing a newborn notes an enlarged head with visible prominent scalp veins. Which should the nurse suspect the newborn is experiencing?
A. Acromegaly. B. Craniosynostosis. C. Fetal alcohol syndrome. D. Hydrocephalus.
In ____, a thread is placed around the neck/wrist after death
Fill in the blank(s) with the appropriate word(s).