Which vital sign will you monitor carefully while K.B. is on epoetin therapy? Explain your
answer.
What will be an ideal response?
Hypertension. Remember, K.B. already has hypertension as an effect of her renal disease, so her BP
must be monitored carefully while she is on epoetin therapy because of the possible adverse effect
of hypertension.
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For which patient with an infection of the urinary tract would the nurse question a prescription for nitrofurantoin?
a. A patient with normal creatinine clearance who has cystitis b. An 82-year-old female nursing home resident with high creatinine clearance c. A 19-year-old college woman who is taking oral contraceptives d. A 28-year-old woman with acute pyelonephritis
Upon assessment a patient is found to have evidence of respiratory compromise from pulmonary edema. A nurse prepares to administer 40 mg of furosemide (Lasix) IV. How should the nurse administer the drug?
a. Give it in an IV push over 10 minutes. b. Add the drug to 200 mL of fluid and give it over 20 minutes. c. Give it in an IV push over 2 minutes. d. Administer it over 2 hours in 250 mL of normal saline.
The nursing unit director exhibits the definition of leadership in which of the following responses?
a. The nurse manager refers the concern to the director of the department. b. The nurse manager corrects the concern with the patient directly and does not communicate her actions to the staff. c. The nurse manager meets with the staff to discuss the concern and identify solutions. d. The nurse manager tells the staff that they need to correct the situation by tomorrow and leaves the meeting.
A 20-month-old child is a patient on the pediatric unit of a hospital. The child cries when the parents leave the unit. Which activity would be appropriate to comfort the child?
a. Hold the child tightly and say their mother will be back soon. b. Tell the child that a make believe friend is there to play with them. c. Sit with the child and make sure they have their blanket or special stuffed animal for comfort. d. Distract the child with a board game like scrabble or monopoly.