Which successful therapy outcome would the nurse expect in a client diagnosed with invasive cancer of the bladder who has brachytherapy scheduled? Decrease in urine output Increase in pulse strength Shrinkage of the tumor when scanned Increase in the quantity of white blood cells (WBCs)
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Which successful therapy outcome would the nurse expect in a client diagnosed with invasive cancer of the bladder who has brachytherapy scheduled?
- Decrease in urine output
- Increase in pulse strength
- Shrinkage of the tumor when scanned
- Increase in the quantity of white blood cells (WBCs)
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- The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The client’s vital signs are Temp 97.2°F, HR 105, RR 24 and BP 110/50. The client has had only 30 mL urine output since arriving to the postoperative area. The client is arousable and slow to respond to commands, but has become slightly restless, shifting in the bed frequently. The client states that they “hurt” and asks for something to drink. The last dose of IV pain medication was given to the client just before leaving the surgical suite. Discuss three key pieces of assessment data and why you feel they are important. Discuss nursing interventions you would implement in caring for this client.When administering any vasopressor during the treatment of shock, the nurse knows the assessment finding that best supports the goal of therapy is: a. Constriction of vessels to maintain BP b. Dilating vessels to improve tissue oxygenation c. Maintaining a MAP of, or greater than 65 mm Hg d. Increased urine output to 50 mL/hrWhat signs and symptoms should the client to be monitored that indicate the presence of sodium deficit How will the nurse know if a client sodium level is normal
- An older client is receiving an IV of 0.9% Normal Saline solution at 75 mL/hour. Which finding indicates to the practical nurse that the client may be developing a complication from this therapy? A Episodes of vertigo and loss of balance.B Fatigue and breathlessness upon exertion. C Apical pulse rate of 64 beats/minute. D Average 24-hour urinary output of 1,400 mL.Discuss the nursing implications for caring for a patient undergoing continuous renal replacement therapy (CRRT).A patient with a high output NG tube is at risk for which imbalance(s)? What assessment findings and nursing implementation would you expect?
- The laboratory findings for a client with chronic kidney disease(CKD) include elevated blood urea nitrogen (BUN) and serum creatinine levels. The client reports feeling fatigued and is unable to concentrate the morning assessments. Baded on these findings, which action should the nurse implement?PHARMACOLOGY IN PRACTICE MANAGING NEEDS A nurse is caring for a client with renal dysfunction. The PHCP has prescribed a metolazone drug for the client. What should the nurse monitor in the client before administering the drug? Select all that apply. 1. Serum cholesterol levels 2. Levels of serum electrolytes 3. Fluid loss every hour 4. Creatinine clearance levels 5. BUN levelThe Nurse is caring for an adolescent with BMI above the 95th percentile with has been experiencing increased urination. Which diagnostic test should the nurse anticiapated?
- A client is prescribed furosemide and digoxin to manage their symptoms associated with heart failure. The nurse understands which of following is true when taking these medications together? Furosemide can cause a loss of potassium, creating a higher risk of digoxin-induced dysrhythmias Furosemide can cause an excess retention of potassium, creating a higher risk of digoxin-induced dysrhythmias. Furosemide can promote loss of potassium and thereby decrease the risk of digoxin-induced dysrhythmias. There is no concern for the concomitant use of these two medications.The nurse is caring for a client on the urinary unit. When providing report to the next shift, it is a noted that the client has osteopenia and history of renal calculi. Which of the following disorders would the nurse suspect? Select one: a. Hypothyroidism b. Hypopituitarism c. Hypoparathyroidism d. Hyperparathyroidism.Scenario Client, Mary Smith, DOB 4/27/1976, was admitted to your unit yesterday with a bladder infection related to neurogenic bladder. The client is part of your assignment today and she is due for her 10 a.m. medication. You go to see her to administer her medication, and she is complaining of feeling like she needs to urinate but has been unable to void since this morning at 5:30 a.m. You review the client’s chart and find these orders: If client has not voided within 4 hours, use bladder scanner to check residual amount. If residual is > 200mL then perform intermittent urinary catheterization. You use the bladder scanner and see that there is 400mL urine in the bladder. Following the provider’s orders, you perform an intermittent urinary catheterization using sterile technique. Document the procedure for the intermittent urinary catheterization for this patient?