The nurse is preparing to administer methenamine (Hiprex) to a patient who is diagnosed with a urinary tract infection. The nurse reviews the patient's chart and notes a urinary pH of 6.0. Which action will the nurse take?
a. Administer the drug as ordered.
b. Obtain an order for 8 ounces of cranberry juice 3 times daily.
c. Request an order for an increased dose.
d. Restrict fluids to concentrate the patient's urine.
ANS: B
Methenamine produces a bactericidal effect when the urine pH is less than 5.5. Cranberry juice will help to acidify the urine.
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The blood test used to standardize PT results among clinical laboratories worldwide is known as
a. aPTT. c. HDL. b. ACT. d. INR.
The nurse at the wellness center plans exercise treatment for the client with diabetes. Why should the nurse advise this patient who is being treated for diabetes to exercise with caution?
A) The resting heart rate is lowered. B) Hypoglycemia may occur. C) The heart rate is temporarily increased. D) The absorption of insulin is lowered.
A patient, age 61, has had type II diabetes for 20 years. He has symmetrical peripheral polyneuropathy of his feet and legs with almost total loss of sensitivity to touch and temperature
He also has peripheral vascular disease evidenced by decreased peripheral pulses and dependent rubor. To prevent injury and infection to this patient's feet and legs, which instruction does the nurse include in teaching? a. He should soak his feet in warm water every day. b. He should not go barefoot and should always wear shoes with soles. c. The use of commercial keratolytic agents to remove corns and calluses is preferred to cutting off corns and calluses. d. He should use a heating pad to warm his feet when they feel cool to the touch.
During which of the following activities is the nurse in community health acting as a partner in change?
a. Administering vaccinations to preschoolers b. Analyzing community problems to determine the best interventions c. Establishing an elder-care center for older adults living with family members who work d. Teaching anger management skills to a group of teens in a halfway house