A client admitted to the hospital with a diagnosis of inflammatory bowel disease has also been diagnosed with calcium phosphate renal calculi

When planning care for this client, which medication does the nurse anticipate based on the data?
A) Potassium citrate
B) Indomethacin
C) Morphine sulfate
D) Hydrochlorothiazide


Answer: D

Hydrochlorothiazide is a thiazide diuretic used to prevent the formation of calcium stones. Potassium citrate alkalinizes urine (raises the pH) and is often prescribed to prevent stones that tend to form in acidic urine (uric acid, cystine, and some forms of calcium stones). Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that is used to treat pain and discomfort and may reduce the amount of narcotic analgesia required for acute renal colic. Morphine sulfate is a narcotic analgesic used to relieve pain.

Nursing

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You are socializing with a group of nurses who you work with on a routine basis. Terri is getting very loud and tells you that she usually has six or eight beers most evenings

She is defensive about your reaction to the amount of alcohol she consumes. She says, "I have days where I can't remember what happened the night before, sure, but only once in a while." If you were Terri's friend, the best action you could suggest to her would be: A. "Maybe you should stop at four beers, Terri." B. "I won't tell your husband what you told me." C. "It sounds to me like your drinking is getting out of control. I can't continue to socialize with you if you continue to drink this much." D. "Terri, I will call AA for you when you are ready."

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Clients with which of the following factors are more likely to experience acute confusion or delirium? (Select all that apply.)

A. Alcoholism B. Chronic pain C. Acute infection D. Major loss E. Multi-infarct cerebrovascular disease F. Change in drug regimen

Nursing

A new BSN graduate is seeking employment at his local facilities. This nurse recognizes his chances for employment will be better at some institutions over an ADN graduate. What increases this graduate's employment chances?

A) The Magnet Recognition Program requires a majority of a facility's nurses have a BSN. B) BSN graduates are always considered first for hiring. C) ADN graduates require additional training before they can start caring for clients. D) The Joint Commission requires a majority of a facility's nurses have a BSN.

Nursing

A nurse is writing a care plan for a newly admitted patient. Which of the following outcome statements is written correctly?

A. "The patient will eat 80% of all meals." B. "The nursing assistant will set up the patient for a bath every day." C. "The patient will have improved airway clearance by May 30." D. "The patient will identify the need to increase dietary intake of fiber by July 4."

Nursing