A nurse is caring for a patient who takes an ACE inhibitor and an ARB medication who will begin taking TMP/SMZ to treat a urinary tract infection. Which serum electrolyte will the nurse expect to monitor closely?
a. Calcium
b. Chloride
c. Potassium
d. Sodium
C
Trimethoprim suppresses renal excretion of potassium, increasing the risk of hyperkalemia. Pa-tients at greatest risk are those taking high doses of trimethoprim and those taking other drugs that elevate potassium, including ACE inhibitors and ARB medications. Trimethoprim does not affect other serum electrolytes.
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While triaging clients in a crowded emergency department, a nurse assesses a client who presents with symptoms of tuberculosis. Which action should the nurse take first?
a. Apply oxygen via nasal cannula. b. Administer intravenous 0.9% saline solution. c. Transfer the client to a negative-pressure room. d. Obtain a sputum culture and sensitivity.
In designing a teaching plan to present to a group of older adults regarding the prevention of esophageal cancer, the nurse would include information about the significance of (select all that apply):
a. cessation of smoking. b. good oral care. c. regular checkups if dysphagia is present. d. reducing excessive weight. e. limiting alcohol consumption. f. reduction of consumption of citrus fruits.
The family of a victim of a gunshot wound is asking emergency department personnel if they could find out the status of their family member. Which action by the nurse is appropriate?
A) Suggest they go to the cafeteria to get something to eat or drink. B) Suggest they return home, and the hospital will phone them with any information. C) Contact social services or the hospital chaplain to provide support while they wait. D) Escort the family to see the client.
Which understanding about persons who attempt suicide will help the nurse plan care for a suicidal
client? Every person who is suicidal should be considered to be a. intent on dying. b. cognitively impaired. c. mentally ill. d. experiencing hopelessness.