Besides having diuretic effects for patients with congestive heart failure, thiazides are also used to treat what? (Select all that apply.)

a. Diabetes insipidus
b. Hepatic failure
c. Increased intracranial pressure
d. Intraocular pressure
e. Postmenopausal osteoporosis


ANS: A, B, E
Thiazide diuretics have the paradoxical effect of reducing urine output in patients with diabetes insipidus. They can also be used to mobilize edema associated with liver disease. They promote tubular reabsorption of calcium, which may reduce the risk of osteoporosis in postmenopausal women. Mannitol is used to treat edema that causes increased intracranial pressure and intraocular pressure.

Nursing

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The nurse plans care for the older adult with the understanding that it is most important to:

1. Obtain a Social Services consult to help him deal with difficult financial situations. 2. Include him in care planning to promote their independence as much as possible. 3. Help him prepare for his upcoming death in order to be able to achieve acceptance. 4. Arrange for multiple opportunities to interact with others.

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A patient comes to the clinic complaining of fatigue and the health interview is suggestive of pica. Laboratory findings reveal a low serum iron level and a low ferritin level. With what would the nurse suspect that the patient will be diagnosed?

A) Iron deficiency anemia B) Pernicious anemia C) Sickle cell anemia D) Hemolytic anemia

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Which is true about a greenstick fracture?

a. Line of the fracture goes across the bone in right angles to the longitudinal axis. b. Periosteum is not torn away from the bone. c. Fracture is incomplete, and one side is bent. d. Fracture occurred in one of the long bones of the body.

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The nurse is preparing to administer a medication to a 6-year-old. What is the nurse's priority action?

A) Administer the exact dosage as ordered. B) Administer no more than one-half of the safe adult dosage. C) Give the dosage supplied by the pharmacy. D) Verify that the dosage is within the safe range for this child.

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