You notify the physician of the decrease in urine output. The physician orders a STAT electrolyte panel and
asks you to call him with the results.
Interpret T.A.'s laboratory results.
What will be an ideal response?
His laboratory test results reveal renal damage. When kidney function decreases, creatinine levels
rapidly rise, indicating a decline in renal function. His elevations in BUN and creatinine, which remain
at a 20:1 ratio, are consistent with the onset of acute renal failure. A patient with acute kidney injury
would also be expected to have elevated potassium because of lack of potassium excretion by the
kidneys and low sodium because of dilutional effects. His glucose is elevated, consistent with his
diagnosis of diabetes.
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The home care nurse is caring for a patient who has severe COPD and home oxygen therapy. The patient tells the nurse that she feels much better after increasing the oxygen flowmeter from 2 L to 5 L/min
The patient's pulse oximetry is 98%. What is the priority action of the nurse? a. Reduce the oxygen flow rate until the patient's pulse oximetry value is 90% to 92%. b. Inform the patient's physician and obtain an order for oxygen at 5 L/min. c. Document the intervention and findings in the patient's medical record. d. Listen to the patient's lung fields and reinforce pursed-lip breathing techniques.
The nurse notes from the physician's charting concern that the patient may have a malignant tumor in the breast. Based upon assessment data, the mass when palpated is:
A) Nontender B) A regular shape C) A soft and regular shape D) Mobile tissue
A patient becomes infected with oral candidiasis (thrush) while receiving intravenous antibiotics to treat a systemic infection. Which type of infection has the patient developed?
a. Endogenous nosocomial b. Exogenous nosocomial c. Latent d. Primary
Which member of the health care team is responsible for initially teaching a patient about medication side effects?
a. Registered nurse b. LPN/LVN c. Occupational therapist d. Patient care technician