A male patient tells the nurse that he has needed to empty his bladder more frequently but when he tries, he only voids small amounts. Having to void during the night has also interrupted his sleep
The nurse realizes this patient is experiencing 1. altered renal nephron functioning.
2. decreased glomerular filtration rate.
3. decreased kidney efficiency.
4. reduced bladder tone or capacity.
4
Rationale: Reduced bladder tone or capacity will lead to an increase in residual urine after voiding and nocturnal urination. There is also a risk for incontinence. An alteration in renal nephron functioning will lead to the body's inability to concentrate and conserve water. A decrease in the glomerular filtration rate will predispose the patient to dehydration. Decreased kidney efficiency will also predispose the patient to dehydration.
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The staff on a care area that has a high percentage of clients with confusion attends an educational program on delirium management. Which statement, made by a staff nurse, indicates that teaching has been effective?
A) "It is important to provide education for family members as needed." B) "Sensory deprivation and overstimulation can worsen the symptoms the client exhibits." C) "Decreasing all stimulation in the client's room is essential." D) "The family should involve the client in all conversations and interactions involving care."
A patient who received a kidney transplant seven years ago is seen for increasing blood pressure and proteinuria. The nurse realizes that this patient is demonstrating signs of what health problem?
1. chronic rejection 2. acute rejection 3. renal artery stenosis 4. pyelonephritis
Violence is a community health nursing concern. This concern is related to the fact that:
1. Violence is a universal problem. 2. Violence is an innate aggressive drive. 3. Nurses must spend a great deal of time on the results of violence. 4. Significant mortality and morbidity results from violence.
Visual disturbances are a result of a pituitary adenoma because of what?
a. Liberation of anterior pituitary hormones into the optic chiasm b. Pituitary hormones clouding the lens of the eyes c. Pressure of the tumor on the optic chiasm d. Pressure of the tumor on the optic and oculomotor cranial nerves