The patient is taking furosemide (Lasix) and has been complaining of muscle weakness. The nurse should be most concerned about which imbalance?
a. Hyponatremia
b. Hypokalemia
c. Hypochloremia
d. Hyperchloremia
B
Hypokalemia causes muscle weakness and if severe, cardiac dysrhythmias. Sodium concentration imbalances really are water imbalances. With hyponatremia, water enters cells by osmosis, causing them to swell. Signs of cerebral dysfunction occur when brain cells swell. Hypochloremia always occurs with other imbalances and has no unique signs and symptoms. Hyperchloremia is abnormally high blood chloride level, which occurs with some types of acidosis, some renal conditions, and other electrolyte imbalances. It also has no unique signs and symptoms.
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A client who was widowed 3 years ago states, "I don't have many friends. The only people I visit with are some acquaintances at the local bar." Which health problem does the nurse suspect the client is experiencing based on this data?
A) Bipolar disorder B) Depression C) Sadness D) Extended grief
What precautionary safety measure should the nurse take for a patient who is receiving first-time intradermal injections for allergy testing?
a. Take vital signs every 15 minutes for 1 hour after the patient receives the injection. b. Remind the patient to call the physician if a rash develops. c. Have the patient remain for 20 minutes after the injection. d. Instruct the patient to take epinephrine if an allergic reaction occurs.
During the postpartum period, the woman should be instructed to report immediately which danger sign to her health care provider?
a. Vaginal discharge persisting over 1 week b. Leaking of breast milk between feedings c. Localized pain in the calf or leg d. Tiring more easily than usual
The nurse is planning care for a pediatric client who has a fractured femur and requires a spica cast after being involved in a motor vehicle accident. The client's adolescent brother was driving the car, which was a total loss
The client's father lost his job 3 weeks ago and the mother has just accepted a temporary waitress job. Which is an appropriate nursing diagnosis for this child, and family, based on the current data? 1. Interrupted Family Processes related to a child with significant disability requiring alteration in family functioning. 2. Risk for Caregiver Role Strain related to a child with a newly acquired disability and the associated financial burden. 3. Impaired Social Interaction (parent and child) related to the lack of family or respite support. 4. Compromised Family Coping related to multiple simultaneous stressors.