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Case Study #1RF is 45 yo, married, and works as a city engineer for a large municipal government. He cited a recent hx of nausea, anorexia, hematuria, and swollen ankles during a physical examination. His wife reported that he had been tiring more easily than usual during the past year and that he recently complains of a metallic taste in his mouth. A hx of prior illnesses proved negative, except for a severe case of influenza with sore throat 10 years ago. RF’s BP was 160/98 and he has lost 4 kg during the past 2 months. A urinalysis shows albumin and red and white blood cells. He is 6′ 1″ and 172 lbs. His current urine output is approximately 450 cc/day.Lab values are as follows:BUN 103 mg/dl GFR 15 ml/min HCT 32% Hgb 11 mg/dl (reference range is 14-17.4 for males)What signs and symptoms does RF have that indicate uremia? What is uremia? What are the causes and consequences of uremia?

Native American courts differ from U.S. courts because they:


______ suggests that when you punish someone, the greater public will be less apt to commit crimes.

Because of mandatory sentencing, much of the power in the judicial process has shifted to ______.

Fair Sentencing Act of 2010 reduced the cocaine sentencing disparity from:


ROR stands for:


The War on Drugs ________ in the United States.

A nurse is teaching a client who was prescribed lisinopril for hypertension. Which statement by the client indicates a need for further teaching?

A patient with chest pain hast BP 78/48mmHg and is pale and diaphoretic. What should the nurse do first ? 

A nurse is assigned to care for four clients. Which client should the nurse assess first?