An older adult patient with congestive heart failure develops crackles in both lungs and pitting edema of all extremities
The physician orders hydrochlorothiazide (HydroDIURIL). Before administering this medication, the nurse reviews the patient's chart. Which laboratory value causes the nurse the most concern?
a. Elevated creatinine clearance
b. Elevated serum potassium level
c. Normal blood glucose level
d. Low levels of low-density lipoprotein (LDL) cholesterol
ANS: A
Hydrochlorothiazide should not be given to patients with severe renal impairment; therefore, an elevated creatinine clearance would cause the most concern. Thiazide diuretics are potassium-wasting drugs and thus may actually improve the patient's potassium level. Thiazides may elevate the serum glucose level in diabetic patients. Thiazides increase LDL cholesterol; however, this patient's levels are low, so this is not a risk.
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_____________________softens stools, speeds transit of foods through the digestive tract, and reduces pressure in the colon
ANS:
A client has died from very disfiguring injuries received in an automobile accident. When the family arrives moments later, the nurse relays the news to the family and then should (Select all that apply)
a. allow the family to be alone to grieve. b. give information related to the extent of the fatal injuries. c. help the family to focus on decisions requiring immediate attention. d. tell the family that it is best not to view the body.
A nursing student presented information during a discussion regarding an illustrative diagram to depict relationships among concepts. Which of the following terms best describes this definition?
A) Concept B) Theory C) Theoretical framework D) Conceptual model
The laboring client participated in childbirth preparation classes that strongly discouraged the use of medications and intervention during labor. The client has been pushing for two hours, and is exhausted
The provider requests that a vacuum extractor be used to facilitate the birth. The client first states that she wants the birth to be normal, then allows the vacuum extraction. Following this, what should the nurse assess the client for after the birth? A. Elation, euphoria, and talkativeness B. A sense of failure and self-disappointment C. Questions about whether or not to circumcise D. Uncertainty surrounding the baby's name