The nurse is obtaining the intershift report for a group of assigned clients. Which of the following assigned clients should the nurse monitor closely for signs of hyperkalemia?
1. A client with ulcerative colitis
2. A client with Cushing's syndrome
3. A client admitted 6 hours ago with a 40% burn injury
4. A client who has a history of long-term laxative abuse
3
Rationale: Hyperkalemia is likely to occur in clients who experience cellular shifting of potassium caused by early massive cell destruction, such as in trauma or burns. Other clients at risk for hyperkalemia are those with sepsis or metabolic or respiratory acidosis (with the exception of diabetic acidosis). Clients with Cushing's syndrome, ulcerative colitis, or those using laxatives excessively are at risk for hypokalemia.
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An older adult patient is experiencing problems with chewing while recovering from extensive oral surgery. The nurse best affects this patient's risk for infection by
a. ordering a mechanical soft diet for the pa-tient. b. monitoring the patient regularly for any low-grade fever. c. providing regular oral care with an antibi-otic mouthwash. d. asking which flavors of protein supple-ment drink the patient would prefer.
A college-age female patient tells the nurse that she has trouble at times moving the muscles of her face to smile or whistle, and her feet feel "weak" but then the symptoms "go away."
The nurse realizes this patient is describing which of the following types of muscular dystrophy? 1. Facioscapulohumeral 2. Oculopharyngeal 3. Duchenne 4. Myotonic
The gastrointestinal system performs what function?
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The nurse is providing an education session to an adult community group about the effects of smoking on infection. Which information is most important for the nurse to include in the educational session?
a. Smoke from tobacco products clings to your clothing and hair. b. Smoking affects the cilia lining the upper airways in the lungs. c. Smoking can affect the color of the patient's fingernails. d. Smoking tobacco products can be very expensive.