A patient with hypertension is taking furosemide [Lasix] for congestive heart failure. The prescriber orders digoxin to help increase cardiac output. What other medication will the nurse expect to be ordered for this patient?
a. Bumetanide [Bumex]
b. Chlorothiazide [Diuril]
c. Hydrochlorothiazide [HydroDIURIL]
d. Spironolactone [Aldactone]
D
Spironolactone is used in conjunction with furosemide because of its potassium-sparing effects. Furosemide can contribute to hypokalemia, which can increase the risk of fatal dysrhythmias, especially with digoxin administration. The other diuretics listed are all potassium-wasting di-uretics.
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A community hospital has assessed the need for an automatic internal cardiac defibrillator for special procedures. Because of the reimbursement allowed from Medicare, which of the follow-ing best explains the decision made?
a. An environmental scan showed no interest in the community for having these placed. b. An environmental scan showed the need for this procedure in only a few patients in the community. c. An environmental scan showed that the cost to the patient was prohibitive. d. An environmental scan showed the device has a high malfunction rate.
The nurse is preparing to administer an antibiotic to a patient who has been receiving the antibiotic for 2 days after a culture was obtained
The nurse notes increased erythema and swelling, and the patient has a persistent high fever of 39° C. What is the nurse's next action? a. Administer the antibiotic as ordered. b. Contact the provider to request another culture. c. Discuss the need to add a second antibiotic with the provider. d. Review the sensitivity results from the patient's culture.
The nurse is presenting a class to pregnant clients. The nurse asks, "The fetal brain is developing rapidly and the nervous system is complete enough to provide some regulation of body function on its own at which fetal development stage?" It is
clear that education has been effective when a participant responds: A. "The 17th to 20th week." B. "The 25th to 28th week." C. "The 29th to 32nd week." D. "The 33rd to 36th week."
The nurse will assess the newborn for passage of stool and will expect the newborn to pass which of the following stools:
a. a pasty yellow stool by 24 hours c. a meconium stool by 24 hours b. firm, pale yellow stool by 18 hours d. a meconium stool by 72 hours