A hospital patient with peripheral edema has been prescribed furosemide (Lasix). How should the nurse best determine the extent of the patient's desired fluid loss?

A) Assess the patient's skin turgor on a daily basis.
B) Test the osmolarity of the patient's urine regularly.
C) Weigh the patient daily.
D) Auscultate the patient's chest each morning.


C
Feedback:
The nurse should measure and record weights to assist in determining the amount of mobilization of excess fluid. This is a more accurate gauge of changes in fluid status than skin turgor, urine osmolarity, or chest auscultation.

Nursing

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The nurse differentiates that passive acquired immunity means that the antibodies were:

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The female client has experienced recurrent candidiasis with intense vaginal itching and excoriation. After treatment, the client is re-examined, and the nurse practitioner finds presence of a white, cheesy discharge

What recommendation is necessary? A) Referral to a surgeon for excision of infected tissue B) Examination and treatment of sexual partner C) Routine douches with a topical antibiotic solution D) Treatment with a stronger oral antibiotic

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A client diagnosed with narcolepsy, sleepwalking, and cataplexy is prescribed a selective serotonin reuptake inhibitor (SSRI). Which explanation regarding this medication is the most accurate?

1. It lowers levels of serotonin, thereby increasing serotonin and elevating energy levels. 2. It helps with sleepwalking because the increase in serotonin allows the client a deeper sleep. 3. It decreased sleepiness, as SSRIs are stimulants, which will help the client maintain wakefulness. 4. It decreased episodes of slurred speech, sagging of the jaw, and head nodding.

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You are a nurse at a university health clinic. Twenty-year-old T.Q. comes in and informs you he is a new student and he has an immunodeficiency problem

He gives you a letter from his attending physician, hands you a vial of gamma globulin, and asks you to give him his "shot." The letter from T.Q.'s physician states T.Q. was diagnosed with primary immunodeficiency disease (PIDD) at age 2 . He has an adequate number of B cells, but they fail to mature properly and become plasma cells or immunoglobulin. T.Q. states he has a history of chronic respiratory and gastrointestinal infections. He is maintained on 0.66 mL/kg of gamma globulin (GamaSTAN) given intramuscularly every 3 weeks and has tolerated this well. He has no known drug allergies (NKDA). His vital signs are stable. Can you honor T.Q.'s prescription? Why or why not? How could you provide him with his injection?

Nursing