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Author Archives: Anonymous

Consider the synthesis of methanol:

Consider the synthesis of methanol:

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The following assumptions for an ideal gas are relaxed in th…

The following assumptions for an ideal gas are relaxed in the van der Waals model of a real gas: (1) the molecules do not attract each other (2) the molecules do not repel each other

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Mrs. Alvarez, an 80-year-old resident in a long-term care fa…

Mrs. Alvarez, an 80-year-old resident in a long-term care facility, has not had her medications administered for two days. Staff also report she has not been assisted with meals or bathing during this time. Question:Which type of elder abuse does this situation represent?

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A client is admitted with chronic renal failure and placed o…

A client is admitted with chronic renal failure and placed on hemodialysis 3 times a week. Which is an appropriate,  attainable, and short-term goal for the client newly placed on hemodialysis?  

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The client is in end-stage renal disease and is receiving so…

The client is in end-stage renal disease and is receiving sodium polystyrene sulfonate via an enema. Which data indicates the medication is effective? 

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The nurse is caring for a client who is experiencing difficu…

The nurse is caring for a client who is experiencing difficulty voiding after an indwelling urinary catheter has been removed. The nurse concludes, which response is the difficulty most related to?

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A nurse is caring for a client diagnosed with spastic neurog…

A nurse is caring for a client diagnosed with spastic neurogenic bladder.  Which of the following medications would the nurse anticipate being included in the plan of care? 

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A 70-year-old female with stage 4 chronic kidney disease (CK…

A 70-year-old female with stage 4 chronic kidney disease (CKD) due to hypertension and diabetes, is admitted for generalized weakness, nausea, and swelling in her legs. She states, “I feel more tired than usual, and my muscles have been cramping a lot.”  The nurse reviews the client’s data, laboratory results and medications below and identifies which trend as most concerning and requiring immediate intervention? Vital Signs/Weight/Urine Output Day   BP HR RR Temp O₂ Sat Weight Urine Output Day 1 150/90 78 20 98.2°F 97% 160 lb 1,200 mL/day Day 2 162/94 72 22 98.4°F 96% 163 lb 900 mL/day Day 3 170/98 66 24 98.6°F 94% 167 lb 500 mL/day Laboratory Results Lab Test Day 1 Day 2 Day 3 Normal Range Serum Creatinine 5.5 mg/dL 6.2 mg/dL 7.0 mg/dL 0.5 – 1.5 mg/dL BUN 55 mg/dL 68 mg/dL 75 mg/dL 5 – 25 mg/dL GFR 20 mL/min 15 mL/min 10 mL/min 90-120 mL/min Serum Potassium 5.6 mEq/L 6.0 mEq/L 6.8 mEq/L 3.5 – 5.3 mEq/L Hemoglobin 9.2 g/dL 8.8 g/dL 8.3 g/dL 12 – 16 g/dL Serum Phosphorus 5.5 mg/dL 6.0 mg/dL 6.8 mg/dL 2.5 – 4.5 mg/dL Prescribed Medications Medication Dose Lisinopril 10 mg PO daily Furosemide 40 mg PO BID Epoetin alfa 5,000 units SQ 3x/week Calcium acetate 667 mg PO TID Sodium polystyrene sulfonate 30 g PO PRN  

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A 72-year-old male client with a history of benign prostatic…

A 72-year-old male client with a history of benign prostatic hyperplasia is admitted for urinary retention.  During initial assessment, the nurse notes a firm, distended bladder.  Upon returning to the client’s room with a bladder scan the client complains of intense flank pain.  Which potential complication would the nurse suspect?  

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A client diagnosed with chronic renal failure is placed on a…

A client diagnosed with chronic renal failure is placed on a fluid restriction of 1200mL per day. On the 0700-1900 shift, the client drank 6 ounces of coffee, 6 ounces of soda, 8 ounces of tea, and 3 ounces of water with medication.  The client will be restricted to _____________ ml(s) from 1900-0700.  

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