A nurse is caring for a patient with kidney disease whose respirations have increased in rate and depth, with long, strong, blowing or grunting exhalations. The nurse identifies this condition as
1. Biot respirations.
2. Kussmaul's respirations.
3. Cheyne-Stokes respirations.
4. Korotkoff sounds.
ANS: 2
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An example of a postrenal category of acute renal failure (ARF) according to precipitating factors and symptoms includes which of the following?
A) hypovolemia B) acute tubular necrosis C) renal calculi D) cardiac failure
The family members of a client with a terminal illness tell a nurse that the client keeps asking if she is dying. What is the nurse's best response?
a. "Whenever she asks about dying, change the subject." b. "Tell her the truth in as gentle a way as possible." c. "Tell her that she will get better eventual-ly." d. "Ask her if she is afraid to die."
Which finding would suggest to the nurse that the patient has a good cardiac reserve?
1. The patient is able to tolerate a gradual increase of pace during a treadmill exam. 2. The patient breathes in through the nose and out through the mouth when sitting quietly. 3. After cardiac rehabilitation exercises the patient sits in a chair to cool down. 4. The patient complains of pain in the legs after walking 100 yards.
The five rights of delegation involve:
a. The right task, the right circumstances, the right person, the right directions and communication, and the right supervision. b. The right law, the right job description, the right policies and procedures, the right training, and the right communication and supervision. c. The right task, the right job description, the right person, the right training, and the right supervision. d. The right job description, the right task, the right person, the right directions and communication, and the right supervision.