A nurse is concerned about renal function in an 84-year-old patient who is taking several medications. What will the nurse assess?
a. Creatinine clearance
b. Sodium levels
c. Potassium levels
d. Serum creatinine
A
The proper index of renal function in older adults is creatinine clearance, which indicates renal function in older patients whose organs are undergoing age-related deterioration. Sodium and potassium levels are not indicative of renal function. Serum creatinine levels do not reflect kidney function in older adults because lean muscle mass, which is the source of creatinine in serum, declines and may be low even with reduced kidney function.
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A woman diagnosed with gonorrhea is astounded and states that she had no idea that she had an STI. What should the nurse explain about gonorrhea?
a. It produces no symptoms in half of those in the early stages of the infection. b. It always produces a foul vaginal dis-charge. c. It causes a vaginal chancre that is not eas-ily detected. d. It may appear to be an upper respiratory infection in the early stages of the infec-tion.
When teaching the parent(s) of a toddler, nurses discuss the dangers of aspiration that may be caused by small toys and other objects in the home. Toddlers are at risk for swallowing small objects because
A) They learn by experiencing objects orally B) They know they will get attention if they put things in their mouths C) They are purposely frightening their parent(s) D) They are bored
You notice that a school health nurse is teaching the children to wash their hands using a nontoxic powder that lights up under a black light
The nurse sprinkles the powder on the children's hands and later shows them by using the black light that they have put these "germs" on their faces and everywhere they have touched. The students wash their hands and see if they made the germs disappear. Which of the following reasons best represents the most important rationale for why the school nurse teaches hand washing by this method instead of giving a talk? a. The glow-powder method is more fun for everyone. b. This method gets the children more active and provides exercise. c. Physically involving the children increases their understanding. d. Most other elementary teachers use the glow-powder method.
A quality assurance manager does an audit and six months later returns to see if the problem has been eliminated. This step:
a. Involves selecting explicit criteria for quality care b. Includes the review of records c. Requires a peer review of all cases that do not meet criteria d. Completes the audit process