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- A nurse is assessing a client with suspected gout. Which of the following would support a diagnosis of gout? Select all that apply 1. Elevated serum uric acid level 2. A swollen, red joint 3. Reports of moderate fatigue 4. Distal extremities cool totoucho5. Pain associated with movement of the affected extremity 6. Intolerance of dairy productsAclient is receiving spironolactone (Aldactone) for treatment of bilateral lower extremity edema. The nurse should instruct the client to make which of the following nutritional modifications to prevent an electrolyte imbalance? 1. Increase intake of milk and milk products. 2. Restrict fluid intzke to 1000 mL per day. 3. Decrease foods high in potassium. 4. Decrease foods high in sodium.A client is receiving spironolactone (Aldactone) for treatment of bilateral lower extremity edema. The nurse should instruct the client to make which of the following nutritional modifications to prevent an electrolyte imbalance? 1. Increase intake of milk and milk products. 2. Restrict fluid intake to 1000 mL per day. 3. Decrease foods high in potassium. 4. Decrease foods high in sodium.
- A 42-year-old patient admitted with acute kidney injury due to dehydration has oliguria, anemia, and a potassium level of 6.0 meq/L. Which of the prescribed actions should the nurse do first? a. Give sodium polystyrene sulfonate (Kayexalate) b. Administer epoetin alfa (Epogen, Procrit) subcutaneous c. Insert a urinary retention catheter to monitor I&O d. Order a type & cross for a possible blood transfusionThe nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The client’s vital signs are Temp 97.2°F, HR 105, RR 24 and BP 110/50. The client has had only 30 mL urine output since arriving to the postoperative area. The client is arousable and slow to respond to commands, but has become slightly restless, shifting in the bed frequently. The client states that they “hurt” and asks for something to drink. The last dose of IV pain medication was given to the client just before leaving the surgical suite. Discuss three key pieces of assessment data and why you feel they are important. Discuss nursing interventions you would implement in caring for this client.A 70-year-old client is seen in the emergency department with an urinary tract infection. The provider orderssulfamethoxazole /trimethoprim. Which medication should the nurse alert the provider about, if given with the medication combo sulfamethoxazole /trimethoprim?
- 1. The nurse is caring for Mr. Adrian, an 82-year-old man with CHF who has a past medical history of diabetes and renal insufficiency. He is prescribed digoxin (Lanoxin) 0.125 mg IV and then 0.125 mg PO daily.a. What are the therapeutic effects of cardiac glycosides?b. Is this patient at risk for digoxin toxicity? Explain.c. What are the adverse effects of digoxin?Discuss the nursing considerations for digoxin administration.Warm sitz bath is prescribed three or four times a day after hemorrhoidectomy. Implementation should be delayed until at least 12 hours postoperatively to avoid inducing: a.Constipation b.Hemorrhage c.Rectal spasm d.Urinary retentionAn older client is receiving an IV of 0.9% Normal Saline solution at 75 mL/hour. Which finding indicates to the practical nurse that the client may be developing a complication from this therapy? A Episodes of vertigo and loss of balance.B Fatigue and breathlessness upon exertion. C Apical pulse rate of 64 beats/minute. D Average 24-hour urinary output of 1,400 mL.
- When administering any vasopressor during the treatment of shock, the nurse knows the assessment finding that best supports the goal of therapy is: a. Constriction of vessels to maintain BP b. Dilating vessels to improve tissue oxygenation c. Maintaining a MAP of, or greater than 65 mm Hg d. Increased urine output to 50 mL/hrThe nurse is caring for an older adult who is receiv- ing oxybutynin (Ditropan) to reduce the occurrence of bladder spasms related to a UTI. For which side effect should the nurse assess the patient? 1. Diaphoresis 2. Palpitations 3. Gastric irritation 4. Orange-colored urineThe nurse is caring for a client on the urinary unit. When providing report to the next shift, it is a noted that the client has osteopenia and history of renal calculi. Which of the following disorders would the nurse suspect? Select one: a. Hypothyroidism b. Hypopituitarism c. Hypoparathyroidism d. Hyperparathyroidism.