NGN Case Study: Chronic Renal Failure Read the case scenario carefully. Then, answer the following questions based on your clinical judgment and understanding of nursing care for a client with chronic renal failure. Client Profile:Name: Henry MartinezAge: 62Medical History: Hypertension, Type 2 Diabetes Mellitus (diagnosed 15 years ago), chronic renal failure diagnosed 2 years agoMedications: Lisinopril, Metformin, Erythropoietin, Furosemide  Initial Assessment Mr. Martinez presents to the outpatient dialysis clinic complaining of increasing fatigue, swelling in his lower legs, and shortness of breath with minimal exertion. Vital Signs: BP: 168/92 mmHg HR: 92 bpm RR: 22/min O2 Sat: 95% on room air Weight: 88 kg (baseline: 84 kg) Laboratory Results: BUN: 58 mg/dL (↑) Creatinine: 6.1 mg/dL (↑) Potassium: 6.3 mEq/L (↑) Hemoglobin: 8.2 g/dL (↓) GFR: 12 mL/min/1.73 m² (↓) Serum Albumin: 2.8 g/dL (↓) Question:  Match each complication (left side) with the most appropriate nursing action (right side). 

A 70-kg adult client with chronic kidney disease (CKD) is prescribed a 40-g/day protein diet. The client is not undergoing dialysis. Which laboratory result would be of most concern to the nurse?

A 35-year-old client is admitted with a history of severe diarrhea and reports tingling around the mouth and in the fingers. The nurse notes muscle twitching when tapping the client’s cheek and also observes a carpal spasm when a blood pressure cuff is inflated above the client’s systolic pressure. The client’s lab results show serum calcium 7.0 mg/dL (normal 8.5–10.5 mg/dL). Which statement correctly differentiates the signs the nurse observed?  

The nurse is teaching a client how to collect a clean-catch midstream urine specimen for culture and sensitivity testing. Which client statement indicates that further teaching is needed?

NGN Case Study: Chronic Renal Failure Read the case scenario carefully. Then, answer the following questions based on your clinical judgment and understanding of nursing care for a client with chronic renal failure. Client Profile:Name: Henry MartinezAge: 62Medical History: Hypertension, Type 2 Diabetes Mellitus (diagnosed 15 years ago), chronic renal failure diagnosed 2 years agoMedications: Lisinopril, Metformin, Erythropoietin, Furosemide  Initial Assessment Mr. Martinez presents to the outpatient dialysis clinic complaining of increasing fatigue, swelling in his lower legs, and shortness of breath with minimal exertion. Vital Signs: BP: 168/92 mmHg HR: 92 bpm RR: 22/min O2 Sat: 95% on room air Weight: 88 kg (baseline: 84 kg) Laboratory Results: BUN: 58 mg/dL (↑) Creatinine: 6.1 mg/dL (↑) Potassium: 6.3 mEq/L (↑) Hemoglobin: 8.2 g/dL (↓) GFR: 12 mL/min/1.73 m² (↓) Serum Albumin: 2.8 g/dL (↓)  Question: Which findings indicate that Mr. Martinez is experiencing complications related to chronic renal failure?Select four.

Peter was stopped by a police officer for speeding on his way to work one day. He was written a ticket that would cost him $120. He decided to fight the ticket in court based on his impeccable driving record up to that point. The judge offered him an alternative: he could pay the ticket OR complete 250 hours of community service. Peter had little time in his schedule because he works fifty hours per week already. He was faced with the ______________ conflict.

Geoff is responsible for properly diagnosing individuals upon admittance to a psychiatric hospital. Which of the following tools would be MOST helpful?

A person living near a volcano disregards the dangers involved, claiming nothing bad will happen.

___________________________ would be an example of chronic stress.

Lorraine’s parents have told her that as long as she becomes a doctor, they will pay for her schooling. Lorraine, however, really wants to become a chemistry teacher. Lorraine’s parents have established: