A nurse is reviewing a patient's medications before administration. Which drug-to-drug interactions will most concern the nurse in a patient with a history of heart failure and a potas-sium level of 5.5 mEq/L?
a. Furosemide [Lasix] and enalapril [Vaso-tec]
b. Amlodipine [Norvasc] and spironolactone [Aldactone]
c. Captopril [Capoten] and spironolactone [Aldactone]
d. Metoprolol [Lopressor] and furosemide [Lasix]
C
ACE inhibitors increase the risk of hyperkalemia, and combining this drug with a potas-sium-sparing diuretic creates a significant risk of hyperkalemia. Furosemide and enalapril, an ACE inhibitor, would not be contraindicated in this patient. Amlodipine and spironolactone would not cause hyperkalemia. The combination of metoprolol, a beta blocker, and furosemide would not be contraindicated in this patient.
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A patient recently diagnosed with inoperable lung cancer tells a nurse, "I am looking forward to seeing my daughter graduate from college in 2 years." What stage of grief should the nurse rec-ognize this as according to Elizabeth Kübler-Ross?
a. Denial b. Anger c. Bargaining d. Depression
The parents of a 3-year-old boy have just been informed that allergy testing suggests their son has multiple food allergies. When providing health education for this family, what subject should the nurse prioritize?
A) Alternative nutritional delivery systems B) Coping strategies for the lifestyle changes that their son's diagnosis necessitates C) The appropriate use of antihistamines in pediatric patients D) Possible sources of food allergens and strategies for avoiding offending foods
An assessment finding that would indicate developmental dysplasia of the hip would be found in a:
1. 1-month-old with flat soles and prominent fat pads. 2. 2-week-old with a positive Babinski's reflex. 3. 1-week-old with metatarsus varus. 4. 1½-month-old with asymmetric thigh and gluteal folds.
Which statement made by the client who is going home after a transsphenoidal hypophy-sectomy indicates an adequate understanding of actions to prevent complications from this treatment?
A. "I will wear dark glasses whenever I am outdoors." B. "I will keep the cat food bowl on my counter so that I do not have to bend over." C. "I will wash the incision line every day with peroxide and redress it immediately." D. "I will remember to cough and deep breathe at least every 2 hours while I am awake."