An elderly patient has taken ibuprofen (Motrin) 800 mg two times per day for longer than 10 years. Which of the following laboratory test(s) should be assessed?
A) Renin and aldosterone levels
B) 24-hour urine for microalbumin
C) Blood urea nitrogen and serum creatinine
D) Complete blood count
C
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The patient is in severe metabolic acidosis from diabetic ketoacidosis. Based on the oxyhemoglobin dissociation curve, what change in the plan of care does the nurse expect?
A) Reduction of inhaled oxygen as hemoglobin is fully saturated B) Use of positive-pressure ventilation to improve alveolar expansion C) Increase in inhaled oxygen as hemoglobin saturation is low D) Increase in ventilation rate to help excrete carbon dioxide
A child, aged 11 years, stays home from school to care for his siblings while his mother works, because the family cannot afford a babysitter. The home is cluttered and dirty
When asked about his parents, the child reluctantly reveals that he thinks his father does not like him very much because he calls him "stupid" and says he can never do anything right. This should be assessed as: a. physical abuse. b. sexual abuse. c. emotional abuse. d. economic abuse.
A client with a gastric ulcer and Helicobacter pylori infection is being treated with triple therapy (bismuth, metronidazole, and amoxicillin) and ranitidine (Zantac)
The client asks why ranitidine is necessary, because the triple therapy will treat the cause of the ulcer. What is the nurse's best response? A. "Ranitidine will help to heal the ulcer and prevent recurrence." B. "Ranitidine is a potent antibiotic used to eliminate H. pylori infection." C. "Ranitidine dissolves in the stomach and coats the ulcer so it will heal faster." D. "Ranitidine will help control diarrhea that can result from the triple therapy."
A client is admitted to the emergency department for multiple lacerations due to a vehicular accident. After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. The primary reason for this vaccine is:
A) it is an antiviral vaccine used to eradicate wound infection. B) it is a vaccine given to booster antibodies towards the tetanus pathogen. C) it induces humoral immunity in the client's blood. D) It counteracts the effects of the inflammatory process.