Ketones are present in a urine specimen of a client in the beginning phases of labor. What should the nurse consider as the reason for this laboratory finding? Select all that apply
1. Edema
2. Vomiting
3. Dehydration
4. Preeclampsia
5. Insulin resistance
2, 3, 5
Explanation:
1. Elevation of the hematocrit may reveal hemoconcentration of blood, which occurs with edema.
2. Ketones in the urine can be associated with vomiting.
3. Ketones in the urine can be associated with dehydration.
4. Proteinuria of 1+ or more may be a sign of impending preeclampsia.
5. Ketones in the urine can be associated with insulin resistance.
You might also like to view...
When teaching students about suicide, the nursing instructor knows to include facts such as:
1. Over 31,000 people kill themselves each year, and suicide is the primary reason for their deaths. 2. Suicide is the fourth leading cause of death among African-American teenagers and the ninth leading cause of Caucasian teen deaths. 3. Suicide is the 11th leading cause of self-inflicted injuries, accounting for over 325,000 people each year going to the emergency department. 4. Suicide is the leading cause of death among mentally ill clients, and over three million people kill themselves each year according to the CDC. 5. Suicide is the 11th leading cause of death among Americans, and as many as 44% of psychiatric emergency clients are at increased risk for suicide.
Other than angina, what other medical condition might the nurse treat by administering nitroglycerin?
A) Muscular dystrophy B) Pulmonary embolisms C) Polycythemia D) Anal fissures
A client who has end-stage colorectal cancer has an ileostomy and a central venous line. The surgery that constructed the ostomy is classified as:
a. curative c. palliative b. elective d. reconstructive
The elderly grandmother of a newborn tells the client that rubbing alcohol should be applied to the cord stump to make it dry and fall off faster. What should the nurse instruct the client about cord care? Select all that apply
1. Keep the umbilical cord stump clean. 2. Allow the umbilical cord stump to air dry. 43. Fold the diaper down under the cord stump. 54. Notify the healthcare provider if the cord stump appears dark in color. 35. Apply topical antibiotic ointment to the cord stump after each diaper change.