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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 ...

dysphagia swallowing precautions - tilt head FORWARD place food on UNAFFECTED SIDE OF MOUTH palpate throat high calcium foods - almonds! and yogurt anorexia pts - assign privleges based on direct weight gain when enteral feeding stops.. - flush with warm water increase fiber - eat fruit with skin parental nutrition allergy indications - eggs to absorb iron well, increase - vitamin c! ex. tomato juice copd diet - high calorie and protein soft, easy to eat nausea/ abdominal cramping ...

Which Carbohydrates are the best - Polysaccaride How much Protein Should you have in a day - 10-35% How much fat should you have in a day - 20-35% How much cholesterol should you have daily - 200-300mg Ground Beef is high in what? - Zinc When should a mom first breastfeed? - within one hour of delivery How can you prevent aspiration of a tube feeding - Check Residuals A high fiber diet will result in what? - Lowered Cholesterol What age does osteoporosis start at? - 35 years old Low res...

nutrients that the body can't manufacture - essential nutrients which nutrients are energy yielding - carbs, fats, proteins dietary reference intake is comprised of? - estimated average requirement, adequate intake, tolerable upper intake levels, recommended daily allowance average minimum amount of carbs the body needs to fuel the brain a day - 130g median carb intake for men - 200-330g/day median carb intake for women - 180-230g/day acceptable macro nutrient range for carbs - 45%-65% o...

Addison's disease skin manifestation - Bronze pigmentation of exposed and unexposed skin Acromegaly occurs as a result of excessive production of - Somatotropin twelve hours after thyroidectomy, which findings should the nurse report to MD - Tachycardia and hypertension laryngeal stridor and hoard voice positive Trouseau's sign Graves' disease expect - difficulty sleeping instruction for type 1 diabetes about exercise - always wear medical alert ID tag when you exercise hyperglycemia ...

A pregnant woman is taking iron supplements during her pregnancy. Which other supplement should the nurse advise her to avoid taking with the iron? A. Vitamin A B. calcium C. zinc D. potassium - Calcium Which vitamin helps with normal vision, tissue healing, and tissue strength? - Vitamin A Which food has the highest amount of calcium? A. 1 cup of low fat yogurt B. 1 oz. of cheddar cheese C. 1 egg D. 1/2 cup of spinach - 1 cup of low fat yogurt Which of the following foods is a goo...

What does prealbumin levels indicate for a patient? - if the patient is receiving adequate nutrition how often do you flush a gastrostomy tube and with how much do you flush? - every four hours with 30mL a patient with iron deficiency would show which signs and symptoms? - tingling and muscle spasms what is a preferred snack for a child who is 9 months old? - graham crackers what would you educate your patient about when it comes to eating for someone with chronic kidney disease? - limit p...

A nurse is performing a nutrition assessment on a client. Which of the following clinical findings are suggestive of malnutrition? Select all that apply. Poor wound healing Impaired coordination Weak hand grips Dry hair Blood pressure 130/80 mm Hg - Poor wound healing Impaired coordination Weak hand grips Dry hair A nurse is teaching a group of female clients about risk factors for developing osteoporosis. Which of the following risk factors should the nurse include? Select all that ...

A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1, 2013. Which of the following is the client's estimated date of delivery? A. Jan. 8, 2014 B. Jan. 15, 2014 C. Feb. 8, 2014 D. Feb. 15, 2014 - A. CORRECT: April 1, 2013, minus 3 months plus 7 days and 1 year equals an estimated date of delivery of Jan. 8, 2014. B. INCORRECT: This is incorrect using Nägele's rule. C. INCORRECT: This is incorrect using Nägele's rule. D. INCORRECT: Thi...

A nurse is assessing a 4 hr old newborn who is to breastfeed and notes hands and feet that are cool and slightly blue What action should the nurse take? a. check the newborns temp using temporal thermometer b. place the naked newborn on the mothers bare chest and cover both with a blanket c. apply an o2 hood over the newborns head and neck d. give the newborn glucose water between feedings - b. place the naked newborn on the mothers bare chest and cover both with a blanket Exposure to a c...

A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the following client statements demonstrates understanding? A. "A water-soluble lubricant should be used with condoms." B. "A diaphragm should be removed 2 hours after intercourse." C. "Oral contraceptives can worsen a case of acne." D. "A contraceptive patch is replaced once a month." - A. "A water-soluble lubricant should be used with condoms." A nurse is instructing a client who is tak...

A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse's priority? - Massage the clients fundus. A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? - Late decelarations A nurse is assessing a client who has severe preeclampsia. Which of the following m...