A nurse is caring for a 3-year-old child with chronic renal failure. The nurse has established a nursing diagnosis of Risk for interrupted family processes related to chronically ill family member. The nurse evaluates that an outcome has been met for this nursing diagnosis when which observation is made?
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A patient in the ER is being evaluated for an endocrine diso…
A patient in the ER is being evaluated for an endocrine disorder. The patient presented with a round, red face, bruises to bilateral lower extremities, purple striae along the abdomen and hyperglycemia. Labs: BUN: 13 Creatinine: 1.1 Glucose: 299 Na: 150 K: 3.1 Ca: 8.7 The nurse suspects which condition?
Chronic hypertension in the child who has chronic renal fail…
Chronic hypertension in the child who has chronic renal failure (CRF) is a clue to which of the following?
The nurse is caring for a client who was admitted with a dia…
The nurse is caring for a client who was admitted with a diagnosis of cerebrovascular accident (CVA or stroke) 3 days ago. In performing the initial assessment, the nurse elicits the client’s response to pain. The client responds by extending the arms and rotating them internally. The nurse documents that the client is exhibiting which of the following?
Which of the following is part of good nursing management of…
Which of the following is part of good nursing management of a patient with compromised renal function? (pick two)
A patient had a stroke which resulted in Broca’s aphasia. Wh…
A patient had a stroke which resulted in Broca’s aphasia. What instructions should the nurse provide when teaching the family how to communicate with this patient? Select all that apply.
A client has a T-tube inserted in the surgical wound followi…
A client has a T-tube inserted in the surgical wound following a cholecystectomy. The most important nursing function in managing this tube is:
A nurse receives a report on a client who had a left-sided s…
A nurse receives a report on a client who had a left-sided stroke and has homonymous hemianopsia. What action by the nurse is most appropriate for this client?
A 51-year-old woman had an incisional cholecystectomy 2 hour…
A 51-year-old woman had an incisional cholecystectomy 2 hours ago. What will the nurse determine as the highest priority in educating the post-operative patient at this time?
A patient post-PCI is on the telemetry floor when suddenly h…
A patient post-PCI is on the telemetry floor when suddenly he cries out to the nurse in pain. The RN analyzes his EKG and see’s the following. The nurse suspects?