You enter your patient's room and notice an ammonia odor. Which of the following conditions can cause an ammonia odor?
a. Renal failure c. Severe vaginitis
b. Intestinal obstruction d. Diabetic ketoacidosis
A
Patients in renal failure have an ammonia odor. Intestinal obstruction, portal hypertension, and rectal incontinence can lead to the patient having a fecal odor. Diabetic ketoacidosis causes a sweet odor. Vaginitis can cause an offensive odor that is not fecal in origin.
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A nurse cares for a client who has packing inserted for posterior nasal bleeding. Which action should the nurse take first?
a. Assess the client's pain level. b. Keep the client's head elevated. c. Teach the client about the causes of nasal bleeding. d. Make sure the string is taped to the client's cheek.
The best explanation to give patients who ask what caused their dilated cardiomyopathy is that it is most often
A) familial. B) caused by a viral infection. C) an immunological defect. D) idiopathic.
The nurse is evaluating the care received by a client who has a hearing deficit. Which client statement indicates that care has been effective?
A) "I ask others to face me when they talk, as I can hear them better." B) "I hear better when the television volume is raised." C) "I will change the battery in my hearing aid once a month." D) "I might use the hearing aid when I go shopping."
A nurse is reviewing the laboratory test results of a client receiving penicillin therapy. Which of the following would the nurse identify as indicating an adverse hematologic reaction? Select all that apply
A) Pancytopenia B) Anemia C) Thrombocytopenia D) Leukopenia E) Hemoglobulinemia