Which should the nurse recognize a client with acute renal failure cannot effectively regulate? Select all that apply.
A. Fluid balance
B. Electrolyte balance
C. The pH of body fluids
D. Heart rate
E. Blood pressure
Ans:
A. Fluid balance
B. Electrolyte balance
C. The pH of body fluids
E. Blood pressure
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When under stress, a client routinely uses alcohol to excess. Finding her drunk, her husband yells at the client about her chronic alcohol abuse. Which action alerts the nurse to the client's use of the defense mechanism of denial?
1. The client hides liquor bottles in a closet. 2. The client yells at her son for slouching in his chair. 3. The client burns dinner on purpose. 4. The client says to the spouse, "I don't drink too much!"
A patient comes to the clinic and receives valacyclovir [Valtrex] for a herpes-zoster virus. The nurse instructs the patient to take the medication:
a. without regard to meals. b. without any dairy products. c. each morning. d. on an empty stomach.
Which of the following interventions will assist the acute care patient in the PICU with the prevention of skin breakdown?
1. Using water-based skin moisturizers for dry skin 2. Keeping the child well oxygenated and well nourished 3. Changing positions at least every two hours 4. All of the above
A child has a disorder that resulted in the failure of bones to ossify, resulting in soft bones and skeletal deformity. What treatment plan does the healthcare professional discuss with the parents?
a. Extremely careful handling b. Increasing vitamin D intake c. Revascularization d. Containment and motion therapy