The nurse is caring for a 32-year-old female patient coming to the clinic with peripheral edema, periorbital edema, and flank pain. Use the chart to answer the questions.

Exhibits

Which items should the nurse include when teaching the patient and family about dialysis? Select all that apply.

The nurse responds to a call for assistance with a patient in pulseless ventricular tachycardia. The nurse prepares for what first-line treatment for this rhythm?

A patient with terminal lymphoma says to the nurse, "I'm tired of being so fatigued all the time. Can't you just give me a big shot of morphine and help me end this suffering? Which of the following responses by the nurse is most appropriate?

A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?

The nurse is caring for a patient who has had three or more premature ventricular contractions occurring in a row on the electrocardiogram tracing. The nurse should document this as which of the following?

The nurse is teaching a patient about digoxin. The nurse would evaluate the patient as understanding the teaching if the patient made which of these statements? Select all that apply.

A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?

The nurse is creating a plan of care for a patient on the oncology unit. Which patient is at highest risk for developing spontaneous pathological fractures?

The nurse is caring for a 32-year-old female patient coming to the clinic with peripheral edema, periorbital edema and flank pain. Use the chart to answer the questions

History & Assessments

Medical/Surgical history: Systemic lupus erythematosus (SLE) x12 years. controlled with glucocorticoids, diabetes mellitus x2 years, recurring urinary tract infections (UTIs).

Surgical history includes C-sections x2. Mitral valve regurgitation for 2 years.

Social History: Married with two healthy children, Works full-time as an office manager. Denies use of alcohol, drugs, or tobacco.

Family History: Mother also had SLE died at age 55 from complications of renal failure. Father is alive and healthy.

Physical Assessment: Alert and oriented, moves all extremities, grips and pushes strong, PERRLA 3 mm. Lungs with crackles, bilaterally, no shortness of breath. 51, 52 heart sounds with murmur: 3+ radial and pedal pulses: 4+ edema of the lower legs, ankles and feet: 2+ edema of the fingers and hands: periorbital edema present. Pain with percussion of the costovertebral angle.

Medications: Prednisone 10 mg PO daily, metformin 500 mg PO BID: ibuprofen 600 mg PO for pain PRN.

The nurse is concerned about the patient’s renal function. For each patient finding, specify if the finding is consistent with the disease process of glomerulonephritis, urinary tract infection, or chronic kidney disease. Select all that apply in each row.

A nurse is reinforcing dietary instructions with a client who has chronic kidney disease. Which of the following information should the nurse include?

What is seen on an ECG tracing when there is no electrical activity being produced?