A 66-year-old woman has a complex medical history that includes poorly-controlled type 1 diabetes, renal failure as a result of diabetic nephropathy and chronic heart failure (CHF)
Her care provider has recently added spironolactone (Aldactone) to the woman's medication regimen. The nurse should consequently assess for signs and symptoms of
A) atrial fibrillation.
B) thrombophlebitis.
C) hyperkalemia.
D) leukocytosis.
D
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The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand. He also cries very easily and becomes angry. The nurse recalls that the cerebral lobe responsible for these behaviors is the __________ lobe.
a. Frontal b. Parietal c. Occipital d. Temporal
A patient who is taking a monoamine oxidase inhibitor (MAOI) asks the nurse about the addition of St. John's wort to help with his depression. What would be the best response of the nurse?
a. "That is a great idea. Alternative therapies can be very helpful." b. "You will feel better sooner if you include phenylalanine." c. "Did you know that St. John's wort can raise your blood pressure dramatically?" d. "You will need to drink lots of water."
The nurse is caring for a critically ill patient with end stage liver disease. The nurse knows that the patient is at risk for hyperdynamic circulation and varices. Which of the following assessments would indicate a hyperdynamic status?
a. cardiac output of 8 L/min. b. normal sinus rhythm on the cardiac monitor. c. blood pressure of 180/90 mm Hg. d. Stools that are guaiac positive.
A postpartum patient calls the nursery to report that her newborn's umbilical cord stump is draining, and has a foul odor. The nurse's best response is:
1. "Take your newborn to the pediatrician." 2. "Cover the cord stump with gauze." 3. "Apply Betadine around the cord stump." 4. "This is normal during healing."