The nurse is caring for a 77-year-old patient diagnosed with Crohn's disease.What would be especially important to monitor this patient for?
A) Pain
B) Fluid overload
C) Fatigue
D) Dehydration
Ans: D
Feedback: Elderly patients can become dehydrated quickly and develop low potassium levels (ie, hypokalemia) as a result of diarrhea. The nurse observes for clinical manifestations of muscle weakness, dysrhythmias, or decreased peristaltic motility that may lead to paralytic ileus. All options would be important to monitor, but especially important is monitoring for dehydration.
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A 70-year-old female patient has kidney disease and increasing bilateral edema in her legs and feet. Her health care provider has placed her on a potassium-sparing diuretic. Based on this patient's history, which represents the diuretic action the patient
needs from her medication? a. The medication should increase reabsorption of sodium and potassium. b. The medication should decrease sodium transport and increase potassium levels. c. The medication should excrete water and sodium but save potassium. d. The medication should excrete potassium and save water and sodium.
As a nurse manager, you see an opportunity for patients to be well serviced through the medical home concept. You recognize that the concept of medical homes:
a. Currently does not include nurses in its vision of multifaceted primary care. b. Includes nurses as part of an interdisciplinary and multidisciplinary team. c. Restricts nurses to services related to direct care and procedures. d. Cannot encompass nurses within this framework.
The nurse caring for clients with cancer knows that nearly 90% of all cancers are carcinomas. From which of the following types of tissue do carcinomas develop?
A) Hematopoietic tissue B) Connective tissue C) Embryonic tissue D) Epithelial tissue
An intravenous (IV) insertion site begins to leak. The tape over the site is wet. What should the nurse do first?
a. Call the physician to report the problem. b. Remove the dressing from the IV site, and observe the insertion site. c. Slowly increase the speed of the IV drip, and watch the site carefully for increased leaking of IV solution. d. Reduce the IV flow rate.