Which menu choices for a child who is diagnosed with renal failure and experiencing hyperkalemia indicate the need for further instruction by the nurse?
1. Carrots and green, leafy vegetables
2. Spaghetti and meat sauce with breadsticks
3. Hamburger on a bun and cherry gelatin
4. Chips, cold cuts, and canned foods
1
Explanation:
1. Carrots and green, leafy vegetables are high in potassium.
2. Spaghetti and meat sauce with breadsticks would be acceptable choices for a low-potassium diet.
3. Hamburger on a bun with cherry gelatin would be acceptable choices for a low-potassium diet.
4. Chips, cold cuts, and canned foods are high in sodium but not necessarily in potassium.
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A patient is taking carvedilol (Coreg) for heart failure. The nurse should monitor the patient carefully for which of the following, which would indicate an adverse effect?
a. Hypertension b. Sinus tachycardia c. Tinnitus d. Sinus bradycardia
An approach to physical assessment that examines only systems involved with a patient's problem is:
A) A systems approach. B) A focused approach. C) A head-to-toe, or regional, approach. D) A comprehensive approach.
Maslow developed a hierarchy of needs from the simple to the complex. Using Maslow's hierarchy of needs, which statement characterizes the highest level of need?
A) "Nurse, my pain is terrible and I need pain medication right away." B) "When I first joined the golf club, I felt welcomed and looked forward to the weekly golf games." C) "I'm very proud to be placed on the Dean's List for spring semester." D) "There have been three neighborhood break-ins on the street in the last month. I am going to sell my house and move to a different neighborhood."
A patient recently discharged from an alcohol rehabilitation program is brought to the hospital in a state of prostration with severe throbbing headache, tachycardia, a beet-red face, dyspnea, and continuous vomiting
The patient's significant other states the patient got sick about 15 minutes after drinking a glass of wine. The nurse should be guided in assessment by the suspicion that the patient: a. Is having a stroke b. Has alcohol intoxication c. Is reacting to disulfiram (Antabuse) d. Is exhibiting symptoms of cross-dependence