Mr. Gold presents with severe generalized body itching, loss of hair, and general weakness. He reports that he has had a cut on his elbow for several weeks now that just "will not heal
" His laboratory work includes a complete blood count (CBC), urinalysis, blood glucose, and protein. His laboratory test results show
a. Decreased serum protein level
b. Increased white blood cells
c. All normal
d. Concentrated urine
A
Although it is possible that there is an underlying infection (response B) or that he is dehydrated (response D), the signs and symptoms of dermatitis, hair loss, and weakness, added to a nonhealing wound, would lead to a decreased serum protein level.
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The nurse is assessing an older adult's advanced activities of daily living (AADLs), which would include:
a. Recreational activities. b. Meal preparation. c. Balancing the checkbook. d. Self-grooming activities.
When caring for a client with a fracture, assessment of which of the following would be the priority?
A) Neurovascular compromise B) Hormonal imbalances C) Cardiac problems D) Altered kidney function
A nurse is reviewing the nursing care plan for a hospitalized child. Which statements are collaborative problems? Select all that apply
a. Risk for injury b. Potential complication of seizure disorder c. Altered nutrition: Less than body require-ments d. Fluid volume deficit e. Potential complication of respiratory acidosis
A client with schizophrenia sees the nurse at the day program. The client has a lot of difficulty being with others and is socially isolated
She reports staying in her apartment alone without visitors, and she usually leaves the daily group meeting after only 5 minutes. Identify from the following a realistic short-term goal for this client for the nursing diagnosis of Impaired Social Interaction. a. The client will verbalize that she has called one person on the telephone each day for 3 days. b. The client will stay during the entire group meeting without being restless within 1 week. c. The client will be able to socialize adequately with others within 1 month. d. The client will organize a party for the members of the group within 6 months' time.