A client's laboratory values indicate a low blood-urea-nitrogen level. The nurse realizes this blood level is consistent with:
a. severe dehydration.
b. malnutrition.
c. low protein intake.
d. starvation.
ANS: C
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The nurse is writing the care plan for a cerebrovascular accident (CVA) patient who has partial left-sided paralysis and is experiencing ataxia. Which intervention will be beneficial for this pa-tient?
a. Encourage the patient to ambulate as much as possible when she feels the energy to do so. b. Ensure the patient receives pureed foods and thickened liquids. c. Place the patient's call light on the right side of the patient and remind her to call for assistance before getting up. d. Encourage the patient to use a communi-cation board.
During an office visit, a nurse meets with a woman who states she does not have time to exercise. Which of the following actions should the nurse take next?
a. Do nothing because she has already made the decision to not exercise. b. Provide her with information on the benefits of exercising. c. Develop an exercise prescription with her. d. Schedule a follow-up in 2 months to see if she still feels the same way.
During assessment of a patient, you note an area of red, sharply defines plaques covered with silvery scales that are mildly itching in the patient's knees and elbows. You recognize this finding as:
A. lentigo B. psoriasis C. actinic keratosis seborrheic keratosis
The nurse is ready to begin a tube feeding via a nasogastric feeding tube for a patient who is comatose. Which action should the nurse take?
a. Lay the patient supine. b. Elevate the head of the bed 10 degrees. c. Place the patient in high Fowler's position. d. Place the patient onto the left side with knees flexed.