The nurse assesses that a patient with cirrhosis is deteriorating when there is evidence of:
a. an increase in urine output related to the effect of the diuretics.
b. a decrease in total bilirubin.
c. confusion related to rising ammonia levels.
d. a decrease in jaundice.
C
The rising ammonia level indicates that the various therapies have not been effective and the pa-tient continues to deteriorate.
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A patient diagnosed with heart failure has 3+ lower extremity edema. Which description most accurately describes this patient's edema?
1. slight pitting, no obvious distortion 2. deeper pit, no obvious distortion 3. pit is obvious, extremities are swollen 4. pit remains with obvious distortion
When taking the NCLEX-RN exam, the new graduate realizes that most of the questions will address nursing in which unit?
a. Psychiatric b. Pediatric c. Medical/surgical d. Obstetrics and gynecology
A pediatric patient has an IV with a microdrip. The order is for 40 mL/hr to infuse. At what rate does the nurse set the microdrip?
a. 10 gtt/min b. 20 gtt/min c. 40 gtt/min d. 80 gtt/min
A client's urinalysis is reported as being normal. What were the client's results?
1. Blood present and no ketones 2. Dark amber color and output less than 500 cc in 24 hours 3. pH 6 and no glucose present 4. Specific gravity 1.035 and faint aromatic odor