The nurse is caring for a patient who has orders for a 17-ketosteroid (17-KS) test. Which preparation is most important for the nurse to make?
a. Keep the patient NPO after midnight the night before the test.
b. Ensure adequate space for the specimen container is available in the refrigerator.
c. Withhold the patient's metformin for 24 hours prior to the test.
d. Request an order for an antacid.
B
The 17-KS test is used to determine the amount of androgen metabolites in the urine and requires a 24-hour urine collection. The urine collection container must be kept chilled, so the nurse should ensure that adequate space is available in the specimen refrigerator. This test does not require the patient to fast. The nurse should consult with the physician and laboratory regarding the patient's medications but should not withhold any without orders. Antacids will not alter the test results.
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A registered nurse is documenting patient assessments. Which documentation written by the nurse is most clear?
a. "Seems comfortable at this time." b. "Is asleep, appears not to be experiencing pain." c. "Apparently is not in pain because patient didn't rate it high on the scale." d. "States pain is a 2 on a 0 to 10 scale."
Ella is 88 years old and was living at home until very recently. Her children, who visited her regularly, noticed she was becoming more forgetful
At first, she mislaid objects, and then she began to forget her doctor's appointments. With time, her personality changed and she became withdrawn. At home she would forget to turn off the stove or leave the kettle on until it boiled dry. After seeking advice from a gerontologist and social worker, Ella's children placed her in a nursing home with a unit equipped for patients with Alzheimer disease. What is dementia? Why is Alzheimer disease based on a "diagnosis of exclusion"? What are the macroscopic and microscopic features of the brain that are typical in Alzheimer disease? One of Ella's children brought her a new pair of slippers to wear in the nursing home. A minute after she received them, Ella could not remember the exchange and asked what they were doing on her bed. What part of the brain has largely been affected to produce this behavior, and what is the pathophysiology involved?
You are teaching prenursing students in your physiology class about the respiratory system. Which anatomical structure would you teach your students protects the lower airway from foreign substances?
A) Larynx B) Nares C) Tonsils D) Adnoids
A client with hyperaldosteronism is being treated with spironolactone (Aldactone) before surgery. Which precautions does the nurse teach this client?
a. "Read the label before using salt substi-tutes." b. "Do not add salt to your food when you eat." c. "Avoid exposure to sunlight." d. "Take Tylenol instead of aspirin for pain."