During the assessment of a client's renal system, the nurse is unable to palpate the kidneys. This nurse would consider this finding as:
1. An indication of an inflammatory condition of the kidneys.
2. A sign of acute or chronic renal disease.
3. Normal.
4. A sign of polycystic kidney disease.
3
Rationale 1: The kidneys are not normally palpable unless they are enlarged. Enlargement usually occurs as a result of a disease process affecting the kidneys.
Rationale 2: The kidneys are not normally palpable unless they are enlarged. Enlargement usually occurs as a result of a disease process affecting the kidneys. Acute or chronic renal failure would be diagnosed through other methods, such as diagnostic and laboratory testing.
Rationale 3: The nurse is correct in considering it to be normal to be unable to palpate the kidneys. Enlargement usually occurs as a result of a disease process affecting the kidneys.
Rationale 4: The kidneys are not normally palpable unless they are enlarged. Enlargement usually occurs as a result of a disease process affecting the kidneys, such as polycystic kidney disease.
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One classification system for nursing informatics competencies uses technical, utility, and leadership categories. Leadership competencies involve:
a. maintaining privacy and confidentiality. b. using computers and other technological equipment. c. using a variety of software programs. d. addressing critical thinking applications.
To promote self-care, the nurse should help the pregnant client understand that nausea can be relieved by:
1. The intake of spicy foods. 2. Avoiding eating until 2 hours after rising. 3. Eating small, frequent meals. 4. Avoiding carbonated beverages.
Which of the following nursing observations of the client who is severely burn injured would indicate a less-than-desirable client status and should be immediately reported to the doctor?
a. a change in the client's level of consciousness from confused to alert b. hourly urine output below 30 mL c. pulse oximetry reading that remains above 90% d. productive cough
Organizations have certain responsibilities to their staff and employees. Some of these organizational responsibilities are listed below. Which of the following is not one of these organizational responsibilities regarding nursing staff?
a. designing policies and procedures that are congruent with the State Nurse Practice Act b. documenting staff competencies for staff who provide direct patient care c. implementing a system that ensures ongoing education of only registered nurses to maintain their competencies d. allocating resources for adequate nurse staffing that allows the nurse to delegate appropriately