The client is taking a medication that inhibits aldosterone secretion and release. The nurse assesses for what potential complication?
a. Fluid retention
b. Hyperkalemia
c. Hyponatremia
d. Hypervolemia
B
Aldosterone is a naturally occurring hormone of the mineralocorticoid type that increases the reabsorption of water and sodium in the kidney at the same time that it promotes excretion of potassium. Any drug or condition that disrupts aldosterone secretion or release increases the client's risk for excessive water loss and increased potassium reabsorption. The client would not be at risk for overhydration or sodium imbalance.
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Of the assessments made by the nurse, the one indicating the immune system is functioning to combat an abscessed tooth is:
a. anorexia. b. purulent expectorate. c. foul breath. d. enlarged cervical lymph node.
The nurse is caring for a client who is considering being admitted to hospice. What is the nurse's best response?
a. "Hospice admission has specific criteria. You may not be a viable candidate, so we will look at alternative plans for your dis-charge." b. "Hospice care focuses on a holistic ap-proach to health care. It is designed not to hasten death, but rather to relieve symp-toms." c. "Hospice care will not help with your symptoms of depression. I will refer you to the facility's counseling services in-stead." d. "You seem to be experiencing some dif-ficulty with this stage of the grieving process. Let's talk about your feelings."
Despite the fact that older adults are proportionately the highest users of health care services, many nurses harbor misconceptions and deficits in practice related to gerontological nursing. What is the most likely solution to this problem?
A) A shift from the treatment of older adults in institutional settings to home care B) Increased nursing education and clinical experience specific to working with older adults C) A focus on early discharge planning for older adults in hospital settings D) Increased use of aggressive pharmacologic interventions in the treatment of acute illnesses in older adults
Which statement by a menopausal client reflects an advantage of using estrogen/progesterone combination hormone replacement therapy (HRT)?
1. "I have a lower chance of developing breast cancer while I am taking this medication." 2. "This medication protects me from uterine cancer." 3. "I am protected from developing Alzheimer disease because I am taking this medication." 4. "I have a lower chance of having a heart attack until I turn 60."