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A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse - b. Distended neck veins A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is ...

Patient identifiers -Medical record number -home telephone number What lab values should a nurse monitor for a patient with chronic renal failure? - ■ Urinalysis Hematuria, proteinuria, and alterations in specific gravity Serum creatinine - Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal failure (ARF) - Gradual increase over months to years for chronic renal failure (CRF) exceeding 4 mg/dL ■ Blood urea nitrogen (BUN) - 80 to 100 mg/dL within 1 week with ARF...

An immunizing agent that confers active immunity protects by: - providing antibodies obtained from immune humans or animals. Antacids should be given one hour apart from most other drugs. Which is the rationale? - Antacids may interfere with absorption of drugs taken at the same time. Vancomycin should not be used to treat minor infections because it: - can cause "red man syndrome", a hypertensive crisis that is almost always fatal. The antagonist for a client who has overdosed on morphi...

A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? - A: Prevent delirium tremens A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching? - A: "I should sit up 30 minutes after taking the risedronate." A nurse is assessing ...

Antihypertensives - These drugs affect both the blood pressure and the rhythm of the heart. Monitor patient blood pressure. *Orthostatic hypotension is a common side effect*. 1) Betablockers 2) Alpha 1 Blockers 3) Calcium Channel blockers 4) ACE Inhibitors 5) ARB Inhibitors 6) Diuretics Betablockers - Usually end in *-olol*. Propranolol (Inderal) Atenolol (Tenormin) Metoprolol (Lopressor) What additional effects of betablockers should the nurse monitor? - The nurse should monitor ...

A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to this client? - Azithromycin/Erythromycin. Rationale: Azithromycin, a macrolide, is an acceptable alternative to penicillin for patients who have bacterial infections and are allergic to penicillin. The medication is effective against many gram-positive and gram-negative bacteria and is used for streptococcal...

Nurse is caring for pt who is experiencing acute EtOH w/drawl. For which of following pt outcomes should nurse administer chlordiazepoxide? - Prevent delirium tremens The client should take chlordiazepoxide to prevent delirium tremens during acute alcohol withdrawal. Nurse is teaching pt about use of risedronate for treatment of osteoporosis. Nurse should identify which of following statements as an indicaiont about pt understands teaching? - "I should sit up for 30 minutes after taking th...

Coronary Heart Disease Nutrition - Low fat (saturated fat)= < 7% of daily caloric intake Low CHL = <200/daily Avoid saturated Fat Decreasing Red meat Decrease Homocystine levels--> deficiencies in folate and vitamins B6 and B12 increase the levels Red Wine Increased Fiber--> oats, beans, fruit, vegetables, whole grains, berley, and flaxseed Increased Carbohydrate Increased intake of omega-3 fatty acids Exercise and weight management Smoking cessation Omega-3 Fatty Acids -...

What type of food allergy reactions would the nurse assess prior to administering epi? - -nausea -vomiting -dyspnea -itching -dizziness -headache also: gasping for air, clenching throat, severe swelling on the face, etc. -these all indicate severe anaphylaxis Diet Management for an older adult with heart failure will include teaching to: - -limit sodium (Na) to 2000 mg/day or less -monitor (possibly restrict to 1.5 L/day) fluid intake -small meals to decrease effort of eating -elect...

Nutritional screening is used in some settings to identify - at-risk or malnourished patients nutrition screenings are required for all patients within - 24 hours of admission In other healthcare settings, such as outpatient or community-based clinics, the clinician determines whether or not - nutritional screening is warranted Unintended weight loss alone is an important indicator of - nutritional status Recent weight loss of more than __% in 30 days or __% in 180 days requires a complete ...