Dr. Torres is treating a patient with glaucoma. She considers using a carbonic anhydrase inhibitor to produce diuresis. Dr. Torres should reconsider her choice of diuretic if the patient:
A. is hypokalemic.
B. is hyponatremic.
C. has acute mountain sickness.
D. has an edema.
Answer: A
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A patient is dismissed from the hospital and is receiving nursing care at home to help in the recovery from a serious illness and operation. The visiting nurse notes that the family is in a state of disarray and members are disorganized and not
communicating. The patient is trying to direct everyone's actions. The nurse calls a family meeting. What action by the nurse is best? A. Encourage family members to make "to do" lists and assign chores. B. Explain that changes in one person require changes in the others. C. Make a referral to a counselor or mental health nurse practitioner. D. Tell the family members that for the patient to recover, they have to assume his or her role.
A mother's blood type is O negative. Which choice will best determine if there is a need to administer Rho(D) immune globulin (RhoGAM)?
a. At the time of delivery, cord blood is col-lected to determine if baby's blood type is positive and if any antibodies are present. b. If the baby's father is positive, she will need Rho(D) immune globulin. c. Kleihauer-Betke test helps determine if the mom has already been sensitized. d. On the first day, the baby's blood is tested to see if antibodies are being produced.
A nurse is caring for a client receiving mechanical ventilation through a tracheostomy tube. What measure should the nurse employ with this client?
A) Ask the client to avoid turning in bed. B) Perform tracheal suctioning, as needed. C) Hyperextend the client's neck sufficiently. D) Secure the tube in place using a sterile dressing.
Which of the following is an example of a life-threatening arrhythmia caused by electrical conduction disturbances?
A. Premature ventricular contraction B. Ectopic foci C. Atrial fibrillation D. Ventricular fibrillation