During peritoneal dialysis the client's dialysate white blood cell count is 150/mm3 and neutrophils are 60%. This would indicate that the client has developed
a. anemia.
b. bowel perforation.
c. peritonitis.
d. pyelonephritis.
C
Peritonitis is diagnosed when the dialysate white blood cell count is greater than 100/mm3 and neutrophils are greater than 50%.
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A diabetic patient calls the clinic complaining of having a "flu bug." The nurse tells him to take his regular dose of insulin. What else should the nurse tell the patient?
A) "Make sure to stick to your normal diet." B) "Try to eat small amounts of carbs, if possible." C) "Ensure that you check your blood glucose every hour." D) "For now, check your urine for ketones every 8 hours."
What would be the most acceptable intervention for the nurse dealing with a patient with a threat of aspiration?
a. Perform deep tracheal suctioning of the patient every hour. b. Place the patient in a side-lying position, with the head turned to the side. c. Slightly elevate the foot of the bed, with the patient in a supine position. d. Give the patient only thickened fluids.
Robert Howe, age 67, is admitted with the diagnosis of pleuritis. Auscultation of Mr. Howe's thorax reveals a pleural friction rub. How can the nurse differentiate this sound from other abnormal breath sounds?
A) Rubs occur during inspiration and clear with coughing. B) Rubs occur during expiration and produce a light popping sound. C) Rubs occur during inspiration and may be heard anywhere. D) Rubs occur during inspiration and expiration and are unaffected by coughing.
During a psychoeducational group on stress management, a client asks about meditation. Which nursing statement is most accurate regarding meditation?
A) "It is a procedure whereby various muscle groups are contracted and relaxed, bringing about an overall sense of relaxation." B) "The procedure is one whereby you use your imagination to reduce tension in the body." C) "The purpose is to become aware of one's bodily processes, such as blood pressure and pulse, and to bring them under conscious control." D) "The goal is to gain mastery and control over one's attention, bringing about a special state of consciousness."