A middle-aged male patient has received a diagnosis of amyotrophic lateral sclerosis (ALS) and has begun treatment with riluzole (Rilutek). The patient's nurse should recognize what goal of this treatment regimen?
A) Restoration of normal motor nerve function
B) Maintenance of normal mobility and activities of daily living
C) Delaying of tracheostomy or mechanical ventilation
D) Relief of neuropathic pain
C
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The nurse is caring for a client admitted with a diagnosis of acute renal failure. The client asks the nurse, "Are my kidneys failing? Will I need a kidney transplant?" Which response by the nurse is the most appropriate?
A) "No, don't think that. You're going to be fine." B) "Your condition can be reversed with prompt treatment and usually will not destroy the kidney." C) "Kidney transplantation is highly likely, and it would be a good idea to start talking to family members." D) "When the doctor comes to see you, we can talk about whether you will need a transplant."
A nurse notes that a client's urine output is less than 300 ml over the past 24 hours. Which of the following could be the possible cause for the client's decreased output?
A) Diuretic medication B) Endocrine disease C) Kidney dysfunction D) Liver disease
Prior to the administration of IV immunoglobulin what interventions should the nurse implement?
A) Only administer immunoglobulin through a central line B) Administer IV immunoglobulin at 10 mL/min C) Administer furosemide prior to and with immunoglobulin D) Weigh the patient before administration to determine onset of edema
M.G., a "frequent flier," is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, "I just had to come to the hospital today because
I can't catch my breath and my legs are as big as tree trunks." After further questioning, you learn that she is strictly following the fluid and salt restriction ordered during her last hospital admission. She reports gaining 1 to 2 pounds every day since her discharge. What error in teaching most likely occurred when M.G. was discharged 10 days ago?