A nurse in an acute medical unit is providing care for a number ...

[tichca]

A nurse in an acute medical unit is providing care for a number of patients with a variety of diagnoses. Which of the following patients most likely exhibits risk factors for impaired coughing? A patient with
 
  A)
  an injury to her cerebellum.
  B)
  a nasogastric (NG) tube attached to suction.
  C)
  a diagnosis of viral pneumonia.
  D)
  diagnosis of diabetes mellitus and morbid obese.

Question 2

Which of the following lab results would be associated with abnormalities in kidney function? Select all that apply.
 
  A)
  An absence of protein in a urine sample
  B)
  Increased creatinine levels
  C)
  Urine gravity of 1.038 and normal serum creatinine levels
  D)
  Decreased blood urea nitrogen (BUN) level
  E)
  Detectable levels of glucose in a urine sample
  F)
  Elevated cystatin-C level.

[cupcake16]

Answer to Question 1

Ans:
B

Feedback:

An NG tube can inhibit the closing of the upper airways that is required for normal coughing. Pneumonia, obesity, diabetes, and injury to the cerebellum are unlikely to affect the ability to cough.

Answer to Question 2

Ans:
B, E, F

Feedback:

Increased creatinine and BUN are associated with abnormalities in renal function, as is the presence of glucose in a urine sample. Urine samples normally lack protein and have a specific gravity of 1.038 to 1.040. An elevated BUN coupled with normal creatinine is likely not attributable to impaired kidney function.

[tichca]

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