A patient with congestive heart failure reports experiencing increased urination when taking the prescribed medication. The nurse explains that which of the following is true?
a. The patient is probably taking a diuretic.
b. The patient is probably taking an anticholinergic.
c. The patient is probably taking an antispasmodic.
d. The patient probably has a UTI.
A
Diuretics increase urinary output by preventing resorption of water and certain electrolytes. Some drugs change the color of urine (e.g., phenazopyridine, orange; riboflavin, intense yellow). Anticholinergics (e.g., atropine, overactive bladder [OAB] agents) may increase the risk for urinary retention by inhibiting bladder contractility. Hypnotics and sedatives (e.g., analgesics, antianxiety agents) may reduce the ability to recognize and act on the urge to void.
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A nursing student is caring for a patient with acute myeloid leukemia who is preparing to undergo induction therapy. In preparing a plan of care for this patient, the student should assign the highest priority to which nursing diagnoses?
A) Activity Intolerance B) Risk for Infection C) Acute Confusion D) Risk for Spiritual Distress
When examining a patient who complains of a problem with her fingernails, the nurse should specifically question her about a history of
a. eczema, melanoma, and herpes zoster. b. psoriasis, fungal infections, and trauma. c. alopecia, trichotillomania, and chemotherapy. d. vitiligo and lupus erythematosus.
While the nurse is visiting the community pool, an adult swimmer is pulled out of the pool, unconscious and cyanotic. What is the priority action of the nurse?
a. Begin chest compressions. b. Move from the pool area. c. Give two rescue breaths. d. Check for a carotid pulse.
Systematic reviews differ from clinical guidelines in what way?
A) They give specific practice recommendations. B) They attempt to address all of the issues relevant to a topic. C) They are evidence driven. D) They are developed by groups of experts and clinicians.