The nurse evaluates the therapeutic effect of the drug sodium polystyrene sulfonate (Kayexalate) in a client in chronic renal failure by assessing whether which of the following is present?
1. Decreased serum potassium
2. Increased stool excretion
3. Decreased serum sodium
4. Increased urine-specific gravity
1. Decreased serum potassium
Rationale:
The client in chronic renal failure is unable to excrete potassium, and therefore the drug sodium polystyrene sulfonate (Kayexalate) is utilized in order to exchange sodium for potassium in the large intestine, resulting in decreased serum potassium levels. Although the client might have increased stools, the therapeutic effectiveness of the drug is measured by monitoring the serum potassium. This drug does not affect either the sodium level or the specific gravity.
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At an organizational level, which of the following strategies would assist in ensuring that EBP is incorporated into nursing care?
a. Formation of nursing-only implementation teams b. Restriction of evidence to RCTs c. Formation of a network of individuals doing research and/or interested in re-search utilization d. Avoidance of partnership with expe-rienced researchers
When caring for the patient with type 1 diabetes, the nurse includes which of the following in the plan of care?
1. Administer insulin lispro or aspart immediately prior to the meal. 2. Administer oral hypoglycemic medications ½ hour prior to meals. 3. Observe for hypoglycemia approximately ½ to 1 hour after injecting NPH insulin. 4. Avoid insulin if the patient reports an allergy to sulfa drugs.
FI The influence of community health nurses in community empowerment lies in enactment of three roles. Those three roles are discovery, decision, and ________
A. Discussion B. Evaluation C. Planning D. Drive
The nurse would evaluate that patient education regarding lithium therapy for an indi-vidual with bipolar disorder as effective if the patient states:
a. "I can stop my lithium when I feel better." b. "I can continue with my diuretic and cardiac medications." c. "I will probably need to take the lithium for the rest of my life." d. "I will taper my lithium when a therapeutic serum level is achieved."