The nurse is reviewing the history and physical of a patient who has an infection. What term should the nurse realize describes an infection of the kidneys?
a. Cystitis
b. Hepatitis
c. Urethritis
d. Pyelonephritis
ANS: D
Pyelonephritis is infection of the renal pelvis, tubules, and interstitial tissue of one or both kidneys. A. Cystitis is inflammation and infection of the bladder wall. B. Hepatitis is inflammation and infection of the liver. C. Urethritis is inflammation of the urethra.
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The client who is recovering from severe trauma remains confined to the bed due to a broken leg. The nurse plans care for this client based on a nursing diagnosis of Impaired Physical Mobility. Which intervention should the nurse plan for this client?
1. Monitoring the client's level of consciousness. 2. Monitoring the client for jaundice. 3. Evaluating the legs for heat and swelling. 4. Ensuring a urinary output of 30 mL/hour.
Administer 470 mL in 3 hours using 10 gtt/mL set. Calculate the gtt/min to the nearest whole number
What will be an ideal response?
The nurse is providing care for a client who is taking acetaminophen (Tylenol). What should the nurse pay particular attention to during the assessment?
1. Respiratory rate 2. Pulse rate 3. Blood pressure 4. Severe upper or lower abdominal pain
An elderly client is admitted for acute psychiatric inpatient treatment of multiple psychiatric disorders. The client also carries several nonpsychiatric medical disorders
Which method of documenting the nursing process for this client would BEST promote critical thinking about the complex interrelationships among the multiple medical and nursing diagnoses? a. traditional columnar nursing care plan b. diagrammatic concept map c. verbatim process recording d. stages of the nurse-client relationship