A patient with reduced glomerular filtration has a blood pressure of 168/100 mm Hg. The nurse suspects which pathophysiological effect is occurring?
1. Rebound hypertension due to fluid volume deficit
2. Sluggish response by the renin-angiotensin system
3. Kidneys hyper-excreting hydrogen ions
4. Increased renin production causing the retention of water and electrolytes
Answer: 4
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For which patient would it be most important to perform a comprehensive discharge plan?
1) A teenager who is a first-time mother, single, and lives with her parents 2) An older adult who has had a stroke affecting the left side of his body and lives alone 3) A middle-aged man who has had outpatient surgery on his knee and requires crutches 4) A young woman who was admitted to the hospital for observation following an accident
The most appropriate initial treatment for variable decelerations is to
a. apply a fetal scalp electrode c. change maternal po-sition b. apply oxygen by face mask d. increase the IV rate
A client is in the recovery room after surgical removal of nasal polyps. The nurse notices the client is swallowing frequently. The most appropriate action by the nurse is to
a. assess the client's mouth for blood. b. continue to monitor and assess the client. c. notify the physician immediately. d. turn the client on the left side.
When doxacurium (a long-acting, nondepolarizing neuromuscular blocker) is given, the nurse can expect prolonged muscle relaxation in clients with which condition?
1. Hepatitis 2. Heart failure 3. Renal insufficiency 4. Chronic obstructive pulmonary disease