A client diagnosed with chronic renal failure is experiencing muscle weakness, paresthesias, and depression. Which of the following do these assessment findings suggest to the nurse?
1. Hyperkalemia
2. Hyponatremia
3. Hypocalcemia
4. Hypermagnesemia
4
Signs and symptoms of hypermagnesemia are similar to those seen with hypercalcemia and include paresthesias, muscle weakness, anorexia, nausea, diminished bowel sounds, and constipation. Confusion, depression, lethargy, and coma can also occur. Muscle weakness, paresthesias, and depression are not seen in hyperkalemia, hyponatremia, or hypocalcemia.
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Before beginning a medical regime that includes a retinoid, which of the following laboratory tests must be negative?
A) Throat culture B) Skin culture C) Stool for occult blood D) Pregnancy test
A nursing instructor is developing a lesson plan to teach about domestic violence. Which information should be included?
1. Power and control are central to the dynamic of domestic violence. 2. Poor communication and social isolation are central to the dynamic of domestic violence. 3. Erratic relationships and vulnerability are central to the dynamic of domestic violence. 4. Emotional injury and learned helplessness are central to the dynamic of domestic violence.
A patient has been diagnosed with an increase in afterload and a CVP reading of 7 mmHg. What should the nurse include in this patient's plan of care?
1. Provide plasma. 2. Provide intravenous fluids. 3. Provide diuretic therapy as prescribed. 4. Encourage an increase in fluids by mouth.
The gerontologic nurse wants to begin assessing concerns related to sexuality among the population of patients seen in the clinic. What action by the nurse is best?
a. Give the patients questionnaires to fill out. b. Get permission to discuss sexuality with them. c. Tell the patients you are now assessing sexuality. d. Ask the patients if they have concerns about sex.