A 70-year-old male client tells the nurse that he is using chelation therapy to prevent Alzheimer's disease. Which adverse effect is the client most likely to experience?
a. Allergic reactions
b. Low potassium levels
c. Elevated blood glucose levels
d. Interactions with other medications
B
Although adverse effects of CAM therapy cannot be predicted in any individual, the most likely adverse effect of chelation therapy is a low potassium level because EDTA binds with heavy metals, causing potassium depletion. This therapy is controversial, and its effectiveness has not been proved scientifically.
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Which of these findings would indicate a potential complication related to renal function during pregnancy?
a. Increase in glomerular filtration rate (GFR) b. Increase in serum creatinine level c. Decrease in blood urea nitrogen (BUN) d. Mild proteinuria
According to the Bureau of Labor Statistics (2009), which statement is true regarding the salaries for registered nurses?
a. the lowest 10% earned less than $39,000 b. the average salary for all categories of registered nurses was $66,530 c. the top 10% earned over $150,000 d. the average salary for all categories of registered nurses was $55,830
On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for her usual visit for her blood pressure. She is on a low-dose diuretic chronically and denies any side effects. Her blood pressure is 118/78 today, which is well-controlled. As you are writing her script, she mentions that it is hard not having her husband Bill around anymore. What would you do next?
A) Hand her the script and make sure she has a 3-month follow-up appointment. B) Make sure she understands the script. C) Ask why Bill is not there. D) Explain that you will have more time at the next visit to discuss this.
The nurse is admitting a client to the medical-surgical unit following a cholecystectomy. Which assessment should the nurse perform first?
1. Level of consciousness 2. Dressing 3. Drains 4. Skin color