The nurse is reviewing the record of a child diagnosed with nephrotic syndrome. The nurse would expect to note which of the following findings documented in the child's record?
1. Polyuria
2. Weight gain
3. Hypotension
4. Grossly bloody urine
2
Rationale: Massive edema resulting in dramatic weight gain is a characteristic finding in ne-phrotic syndrome. Urine is dark, foamy, and frothy, but only microscopic hematuria is present; frank bleeding does not occur. Urine output is decreased, and hypertension is likely to be present.
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A woman in her second trimester of pregnancy presents to the perinatal clinic with complaints of scant vaginal bleeding, abdominal pain, and shoulder pain. What action should the nurse perform first?
A. Assess her for a history of preterm labor. B. Obtain a blood sample for a ?-hCG test. C. Prepare the woman for a pelvic exam. D. Request an order for methotrexate (Rheumatrex).
A client relates to the nurse "I have been trying to lose weight. I am not hungry at breakfast, so I
wait until lunch to eat. I have a small lunch and then use most of my calorie allotment for dinner. Lately, I have noticed that I do not have a lot of energy. I seem to be more anxious and my mood is lower.". The counsel the nurse should provide is a. "You seem to be doing what is usually effective.". b. "Perhaps you should divide your calories evenly between lunch and dinner.". c. "Eating breakfast is important. It improves mood, energy, and feelings of calm.". d. "You might want to talk with your doctor about the use of SAMe for depression.".
When planning a family session for a client with bulimia nervosa, the nurse should consider which of the following regarding family dynamics?
A) Family members may be over-involved with the client. B) Families of clients with bulimia nervosa become enmeshed. C) Family members of individuals with bulimia nervosa tend to bond together. D) Family members tend to isolate from one another.
Which of the following is nursing leadership?
1. Monitoring the budget for an immunization program 2. Influence of the nurse on improving client health 3. Coordinating an interdisciplinary team 4. Use of resources in providing clinical services