The nurse is caring for an 82-year-old client diagnosed with chronic renal failure (CR
F). The client reports no bowel movement in the past 2 days. This client is at an increased risk for
A) hypokalemia.
B) metabolic acidosis.
C) hyperkalemia.
D) increased serum creatinine levels.
C
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A client who has experienced domestic violence in the past has decided to stop participating in counseling. Which client statement would indicate that therapy has been effective?
A) "Everyone knows what my problems are, and there is nothing I can do about it." B) "I am functioning fine now but I know that when problems come up again, I will ask for help." C) "My friends tell me that I have improved so this is a good time to stop." D) "It is so draining to deal with the same painful issues all of the time."
Which statement regarding the etiology of Zollinger-Ellison syndrome (ZES) is true?
A. ZES may result from an autosomal dominant disorder. B. ZES may result from untreated peptic ulcer disease. C. ZES causes inhibition of gastric acid secretion. D. ZES causes inhibition of ACTH secretion.
The nurse should suspect a hearing impairment in an infant who fails to demonstrate which behavior?
a. Babbling by age 12 months b. Eye contact when being spoken to c. Startle or blink reflex to sound d. Gesturing to indicate wants after age 15 months
A client tells the nurse they are experiencing sudden intermittent headaches after seeing "flashes of light" and experiencing nausea. Which should the nurse suspect the client is experiencing?
A. Migraine headaches. B. Cluster headaches. C. Increased intracranial pressure. D. Tension headaches.