The following substances, among others, are found in a urine sample: urea, creatinine, sodium, chlorine, potassium, glucose, and bicarbonate ions. Which of the following could account for this abnormal finding?
a. Blood pressure of 76/30 mm Hg c. Blood glucose of 36 mg/dL
b. Blood glucose of 456 mg/dL d. Blood potassium level of 4.1 mEq/L
B
This glucose reading is above the threshold concentration. Glucose is normally completely reabsorbed from the tubules. Above the threshold level, the tubules are unable to reabsorb all of the glucose, and some spills into the urine. All of the other findings in this urine sample are normal findings.
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The nurse is concerned that an older patient with a chronic illness is on a trajectory towards frailty and dependence. From the nursing assessment findings listed, which is the priority?
1. Sustained cognitive impairment 2. Conditions controlled with medications 3. Family that phones several times a day 4. A decline in functional ability
The nurse would remind a client that the cause of sudden death after myocardial infarction is usually
a. congestive heart failure. b. dysrhythmias. c. myocardial ischemia. d. stroke.
The nurse is collecting data about a baby in the well-baby clinic. The nurse reads in the electronic medical record that proximodistal direction movements are present. What is the best interaction for this description in the record?
A) Lift head before sitting. B) Sit before walking. C) Roll over before grasping objects. D) Make sounds before being able to walk.
When the nurse becomes tearful at the death of a patient, the nurse should:
a. leave the room so the family will not witness the unprofessional behavior. b. touch the hand of the daughter and say, "We will miss your dad." c. become occupied with rearranging a floral bouquet until emotions are under control. d. discontinue the oxygen, turn off the IV, and say, "I am sorry for your loss."