The nurse caring for Mrs. L, a 72-year-old client admitted to the hospital with acute renal failure, will have to monitor her closely for:
1. Increased glucose values.
2. Declines in Blood Urea Nitrogen (BUN) values.
3. Increases in albumin values.
4. Declines in serum creatinine values.
1
Rationale: Clients with acute renal failure should be monitored for glucose intolerance resulting from insulin resistance. Serum levels of both BUN and serum creatinine increase during acute and chronic renal failure. Albumin levels decline due to fat catabolism.
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A male client is in the process of being admitted to a mental health facility. He is sure that the nurse is the administrator of the hospital, despite the nurse's insistence that he is a staff nurse on the unit. This client is experiencing:
a. Acute confusion b. Visual hallucinations c. Delusions d. Auditory hallucinations
All of the following would be violations of HIPAA except:
a. discussing patient information in the elevator b. looking up a friend's labwork on the computer for him c. providing statistics about medication side effects d. giving information to friends on the phone about a patient's condition
Which impairments are covered by the Americans with Disabilities Act?
1. Only physical impairments 2. Only mental impairments 3. Either physical or mental impairments 4. Neither physical nor mental impairments
An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient:
a. to eat a small meal after purging. b. not to skip meals or restrict food. c. to increase oral intake after 4 PM daily. d. the value of reading journal entries aloud to others.