A client's urine specific gravity is 1.040 . Which action by the nurse is best?
a. Obtain a urine culture and sensitivity.
b. Place the client on restricted fluids.
c. Review the client's creatinine level.
d. Increase the client's fluid intake.
D
Normal specific gravity for urine is 1.005 to 1.030 . A high specific gravity can occur with dehy-dration, decreased kidney blood flow (often because of dehydration), and the presence of antidi-uretic hormone (ADH). Increasing the client's fluid intake would be a beneficial intervention. The other interventions are not warranted.
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Of the following, the biggest disadvantage of having nursing assistive personnel (NAP) help nurses is that the nurse:
1) Must know what aspects of care can legally and safely be delegated to the NAP. 2) May rely too heavily on information gathered by the NAP when making patient-care decisions. 3) Is removed from many components of direct patient care that have been delegated to the NAP. 4) Still maintains responsibility for the patient care given by the NAP.
In which of the following ways does creative thinking impact client care?
a. It hinders the problem-solving process. b. It facilitates analysis and planning. c. It is needed for making decisions. d. It is the foundation for individualized client care.
A young adult patient who denies any history of smoking is seen in the clinic with a new diagnosis of chronic obstructive pulmonary disease (COPD). It is most appropriate for the nurse to teach the patient about
a. ?1-antitrypsin testing. b. use of the nicotine patch. c. continuous pulse oximetry. d. effects of leukotriene modifiers.
A client with rheumatoid arthritis complains of soreness in his joints. Which of the following homeopathic remedies might the nurse recommend for this client?
A) Arnica B) Calendula C) Nux vomica D) Ignatia