A client with intracranial pressure (ICP) is going to be evaluated by a neurosurgeon. The nurse identifies which of the following as priority results to be present on the chart for review? (Select all that apply.)
1. MRI result
2. Complete blood count of the cerebrospinal fluid
3. Arterial blood gases
4. Bronchoscopy results
5. Serum osmolality
1. MRI result
3. Arterial blood gases
5. Serum osmolality
Rationale:
Diagnosis of increased ICP is made on the basis of observation and neurologic assessment; even subtle changes can be clinically significant. Testing can include CT scan or MRI, serum osmolality, and arterial blood gases. Bronchoscopy and lumbar puncture are not performed.
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An adult client with acute glomerulonephritis is experiencing fatigue, anorexia, and blood pressure of 140/94. What should the nurse identify as the initial goal for this client's treatment?
1. To reduce the hypertension 2. Urinary output of at least 3000 mL daily 3. Providing a 5000-calorie daily diet 4. Energy conservation and bed rest during the acute phase
It is helpful to have orientation sessions for acquiring leadership skills for nurses assuming the charge nurse role. Ideally, these sessions would include:
A. Practice with an experienced charge nurse who will offer constructive feedback and exercises to practice solving conflict management scenarios B. Assertiveness training and practice time developing staff scheduling C. Budget training and hints for running staff meetings D. Homework covering development of a business plan for opening a unit's satellite program
A patient is admitted to a hospital unit with a diagnosis of anorexia nervosa. When caring for this patient, a nurse recognizes that anorexia nervosa is characterized by which of the following? Select all that apply
1. Evidence of emaciation 2. An excessive leanness or wasting of the body 3. An accurate self-perception about body weight 4. Obsessive thoughts about body shape and weight 5. Attempts to reduce one's body weight below normal
A client has come to the health care provider's office with symptoms of a urinary tract infection (UTI). She states that she had no symptoms when she went to bed last night but woke this morning with severe burning with urination
A urine culture is completed and grows Escherichia coli. The client asks the nurse why these symptoms occurred so suddenly. The nurse's best response is: 1. "You probably had the symptoms for some time, but you didn't notice it until it became severe." 2. "The severity of your symptoms indicates a hygiene problem." 3. "Do you often have complaints of severe pain when you awaken?" 4. "The bacteria that caused your infection grow very rapidly, so it is possible you had no symptoms the night before."