The nurse is caring for a patient who has just received a kidney transplant. What nursing assessment finding would be most indicative of development of urinary drainage blockage?
A) Swelling over the graft site
B) Decrease in serum creatinine
C) Sudden drop in hourly urine drainage
D) Increase in serum sodium
C
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A circulating nurse wishes to provide emotional support to a client who was just transferred to the operating room. What action by the nurse would be best?
a. Administer anxiolytics. b. Give the client warm blankets. c. Introduce the surgical staff. d. Remain with the client.
Which action would the nurse take when assessing the impact of religion, culture, and ethnicity on a patient's illness?
A. Recognize that religious preferences may differ between members of an ethnic group. B. Recognize that all members of an ethnic group will follow the same dietary practices. C. Recognize that certain ethnic groups practice the same religion. D. Recognize that certain ethnic groups always practice the same cultural rituals.
When the clinic nurse starts to take the "air cast" off the grade 2 sprain, the patient asks why it is being removed as he still has pain. The nurse explains that the cast is removed because:
a. the cast will interfere with adequate cir-culation. b. the cast will increase the edema. c. long-term immobilization can cause per-manent disability. d. another heavier cast will be applied.
A client who was experiencing symptoms of early lithium toxicity has had the dosage of medication reduced. The nurse determines the dosage reduction was effective when the client demonstrates:
A) a coarse hand tremor. B) a return of normal speech. C) a decrease in urine output. D) a decrease in blood pressure.