The pediatric nurse is caring for a hospitalized child with cirrhosis who has 4+ pitting edema. Which laboratory value would the nurse correlate with the edema?
A.
Albumin: low
B.
Cholesterol: low
C.
Prothrombin time: high
D.
White blood cell count: high
ANS: A
All of these laboratory values are typical in a patient with cirrhosis. However, albumin deficiency causes fluid to be lost from the vascular space, leading to edema.
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Which example represents a qualifier that may interfere with the message to be communicated?
1. "Please notify me when this task is complete." 2. "Are you satisfied with the care you are receiving?" 3. "I hate to bother you with this, but we have a problem." 4. "How can I help you solve your issues with this physician?"
A client informs the nurse that he is taking a stimulant laxative in order to be able to have a bowel movement daily. What should the nurse inform the client about the taking a stimulant laxative?
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1. With the patient's permission, plan to involve a hospital minister to discuss the patient's perspective about cancer. 2. With the patient's permission, plan to bring the case before the hospital's board of ethics. 3. With the patient's permission, plan to contact the patient's minister to discuss the patient's perspective about cancer. 4. With the patient's permission, plan to meet with family members to discuss the patient's perspective about cancer.
Which statements by a patient who has been instructed on use of the medication budesonide (Entocort EC) to reduce local inflammation from Crohn's disease indicate that more teaching is needed? (Select all that apply.)
a. "I will take the pill each evening before going to bed." b. "I should swallow the pill whole, not crushed." c. "I can just stop taking the medication once I feel better." d. "I should avoid grapefruit juice." e. "I must avoid the sun while taking this drug." f. "I might experience mood swings or weight gain on this medication."