A patient has 2+ pitting edema of the lower extremities bilaterally. Auscultation of the lungs reveals crackles bilaterally, and the serum potassium level is 6 mEq/L. Which diuretic agent or-dered by the prescriber should the nurse question?
a. Bumetanide [Bumex]
b. Furosemide [Lasix]
c. Spironolactone [Aldactone]
d. Hydrochlorothiazide [HydroDIURIL]
C
Spironolactone is a non–potassium-wasting diuretic; therefore, if the patient has a serum potas-sium level of 6 mEq/L, indicating hyperkalemia, an order for this drug should be questioned. Bumetanide, furosemide, and hydrochlorothiazide are potassium-wasting diuretics and would be appropriate to administer in a patient with hyperkalemia.
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A health care facility has adopted automated scheduling across all client care areas
When presenting this decision to nursing staff, the nurse executive should include which information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "This system will allow nurses to spend more time with those clients who need us the most." 2. "We expect that using this system will help us improve client outcomes." 3. "There will be little financial gain to the institution, but we are committed to improving our scheduling." 4. "Using this Baylor plan will help us improve client outcomes." 5. "This system will allow nurses to choose shifts and clients."
The nurse is conducting a psychosocial assessment of a child with asthma brought to the physician's office for a check-up. Which of the following are psychosocial issues that might be assessed? Select all answers that apply
A) Health insurance coverage B) Transportation to health care facilities C) School's response to the chronic illness D) Past medical history E) Future treatment plans F) Health maintenance needs
A 33-year-old female teacher is admitted with second-degree burns over 50% of her body. The third day post-burn, she develops tachypnea and hoarseness with speech. What is the most likely cause of these symptoms?
A) Hypovolemia B) Throat infection C) Pulmonary edema D) Systemic infection
When assessing an older adult, the nurse should be alert to the clinical manifestations of depression that may be masked by other chronic conditions. The cardinal and primary behavior exhibited in the depressed older adult is
a. loss of appetite and weight loss. b. drinking alcohol. c. loss of interest in previously pleasurable activities. d. inactivity.