An older adult client is brought to the clinic for Increased confusion over the past three days and presents with a draining wound on the right leg. Which assessment is most important for the nurse to obtain?

24-hour medication history.

Amount of serous drainage from the wound.

Urinary output for past six hours.

White blood cell count.

Answer and Explanation

The Correct Answer is D

A. While the medication history can be relevant, it is not the most immediate assessment needed to address the confusion and possible infection.

B. The amount of serous drainage is important for wound assessment but does not directly address the cause of confusion.

C. Urinary output is useful for evaluating kidney function but may not be directly related to the client’s confusion and wound.

D. The white blood cell count is crucial for identifying an infection or inflammatory response, which could be related to both the confusion and the wound.

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Correct Answer is D

Explanation

A. Increasing protein intake will not heal the kidney's nephrons in end-stage kidney disease.

B. While preventing malnutrition is important, protein intake needs to be carefully managed to avoid complications from waste buildup.

C. Decreasing protein intake is necessary because the kidneys' ability to filter waste products is compromised.

D. Protein intake should be decreased to prevent the buildup of nitrogenous wastes, which the failing kidneys cannot adequately filter. Dialysis can help remove these wastes, but dietary management is still crucial.

A. Adult nurse practitioner. B. Neurology unit supervisor. C. Risk management nurse. D. Nurse case manager.

Correct Answer is D

Explanation

A. The adult nurse practitioner may be involved in direct patient care but is not typically responsible for coordinating the overall progression of care.

B. The neurology unit supervisor might oversee the neurology-related aspects but not the overall case management.

C. The risk management nurse deals with issues related to patient safety and quality but does not usually coordinate patient care.

D. The nurse case manager is specifically responsible for coordinating the progression of care, including planning, implementing, and evaluating the overall treatment plan.

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An older adult client is brought to the clinic for Increased confusion over the past three days and presents with a draining wound on the right leg. Which assessment is most important for the nurse to obtain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing dietary education to a client in end stage kidney failure who requires dialysis three times a week. Which information is important for the nurse to include about the client's daily diet?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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