A diuretic medication, furosemide (Lasix), is being administered for congestive heart failure. Which assessment is not an anticipated consequence of the therapy?
a. Increased urinary output
b. Weight loss
c. Thirst
d. Muscle weakness
D
Increased urinary output, weight loss, and thirst are all anticipated consequences of the therapy. Muscle weakness is a sign of hypokalemia.
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A pregnant patient complains that the iron she is taking makes her constipated. The patient asks the nurse, "Why can't I just supplement the iron solely through my diet?" The nurse's best response is
a. "Only 10% of dietary iron is absorbed by the body." b. "Only 25% of dietary iron is absorbed by the body." c. "You can increase iron significantly through diet; eat bananas and citrus fruits." d. "Drink a glass of milk daily with a half dose of iron, because it will enhance absorption."
A nurse is using an otoscope to inspect the ears of an adult client. Which action does the nurse take before inserting the otoscope?
A. Pulling the pinna up and back B. Pulling the pinna down and forward C. Tipping the client's head down and toward the examiner D. Tipping the client's head down and away from the examiner
Lipoprotein electrophoresis is used to obtain a direct measurement of all of the following except ________.
A. HDL B. triglycerides C. LDL D. total cholesterol
You assess B.T. and find that he has diminished lung sounds with inspiratory and expiratory wheezes in all lung fields with a nonproductive cough and accessory muscle use. His skin is pale, warm and dry
The electrocardiogram (ECG) shows sinus tachycardia without ectopy. He is alert and oriented × 4 spheres. He appears anxious and is sitting upright, leaning over the bedside table, and continuing to complain of shortness of breath. What is your primary nursing goal at this time? Describe six actions you must implement based on this priority. You will need to monitor B.T. closely for the next few hours. What is the most serious complication to anticipate? Identify four signs and symptoms of this complication you will assess for in B.T. When combination inhalation aerosols are prescribed without specific instructions for the sequence of administration, you need to be aware of the recommendations for safe drug administration. Describe the correct sequence for administering B.T.'s treatments. What are your responsibilities while administering aerosol therapy?