Mr. White is 62 years old and has chronic kidney disease that has been relatively stable. He also has a history of hyperlipidemia, osteoarthritis, and hypertension
He is compliant with his medications, and his BP has been well controlled on a calcium channel blocker. His last lipid panel showed: TC = 201, HDL = 40, TG = 180, LDL = 98. He currently takes Crestor 20 mg daily. In the office today, his BP is 188/90, and his urine dip now shows significant proteinuria. He denies any changes in his dietary habits or medication regimen. What would be the best medication change for Mr. White at this point?
A. No change—have him return in 4 weeks for a re-check of his blood pressure and urine
B. Increase the dose of the calcium channel blocker for his hypertension
C. Change the calcium channel blocker to an ACE-I
D. Increase the dose of his Crestor and have him return in 3 months for a re-check of his BP
C
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Laboratory testing is ordered for a 61-year-old patient suspected of having chronic prostatitis. The nurse anticipates preparing the patient for which procedure?
1. CT scan 2. IVP 3. Serum sodium level 4. Urinalysis
A nurse is performing an otoscopic examination of an adult. Put the following in the correct order of assessment: A. Wash hands. B. Pull the pinna up and back. C. Explain the procedure to the client. D. Hold the otoscope upside down. E. Using caution, slowly insert the speculum. F. Title the client's head away.G. Place examiner's fingers/hand against the client's cheek
H. Document findings.
The nurse receives the following report on four patients on the medical-surgical unit. Which patient will the nurse attend to first?
a. Gait unsteady, uses walker, needs 2-person assist with ambulation b. Abdominal wound is draining foul-smelling fluid, incision margins are red, heart rate 100 beats/min c. Blood pressure 90/50 mm Hg, heart rate 40 beats/min, rates chest pain at 8 on a 0 to 10 pain scale d. Verbalizes history of migraine headaches, eyes closed during assessment interview
The ____________________ is a registered nurse with advanced academic and clinical experience, which enables her to diagnose and manage common acute and chronic illnesses, either independently or as part of a health care team.
Fill in the blank(s) with the appropriate word(s).