A 50-year-old mountain climber is brought to the emergency department after a climb complaining of headache, nausea and vomiting, and "feeling winded." What medication would the nurse expect the physician to order?
A. Furosemide (Lasix)
B. Acetazolamide (Diamox, Apo-Acetazolamide)
C. Atropine sulfate
D. Ketorolac tromethamine (Toradol)
B
The oral medication acetazolamide (Diamox, Apo-Acetazolamide) is used to prevent and treat acute mountain sickness. Acetazolamide is a carbonic anhydrase inhibitor that acts by causing a bicarbonate diuresis that induces metabolic acidosis. The acidotic state increases respiratory rate and helps clients acclimate faster to a high altitude. Dexamethasone (Decadron, Deronil) may also be helpful in the treatment of moderate to severe acute mountain sickness.
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You are the nurse admitting a 5-year-old child to the pediatric unit. The mother says that she feels certain the child will be all right with the parents taking turns being at the hospital in the evenings only
The mother mentions that the child has been attending day care for several years. Which of the following is the nurse's best response? a. "Hospitalization can be very stressful to a child without a familiar person. If you can arrange to be here more, it will help your child." b. "Some children who have been in day care do fine with just the nurse." c. "I will personally take care of your child whenever I am here, so you won't have to worry about the care at all." d. "Perhaps you could hire a private duty nurse's aide or a nurse for part of the day."
The nurse teaches a class for the public about diabetes mellitus. Which individual does the nurse assess as being at highest risk for developing diabetes?
1. The 38-year-old client who smokes one pack of cigarettes per day 2. The 42-year-old client who is 50 pounds overweight 3. The 50-year-old client who does not get any physical exercise 4. The 56-year-old client who drinks three glasses of wine each evening
Ideally, AM care should be provided to the patient
A) before lunch. B) before breakfast. C) after breakfast. D) before awakening.
A nurse is preparing to change a client's dressing. What is the reason for using surgical asepsis during this procedure?
a. Keeps the area free of microorganisms b. Confines microorganisms to the surgical site c. Protects self from microorganisms in the wound d. Reduces the risk for growing opportunistic microorganisms