The patient who has a history of systemic lupus erythematosus has been recently diagnosed with ESRD. The patient has an elevated phosphorus level and has been prescribed calcium acetate to bind the phosphorus
The nurse should instruct the patient to take the prescribed phosphorus binding medication:
A) Only when needed
B) Daily at bedtime
C) 1 hour prior to meals
D) With each meal
Ans: D
Feedback: Both calcium carbonate and calcium acetate are medications that bind with the phosphate and assist in excreting the phosphate from the body, in turn lowering the phosphate levels. Phosphate binding medications must be administered with food to be effective.
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The nurse is assessing a 76-year-old man in a nursing home with a diagnosis of UTI. The nurse notes that the patient is complaining of right flank pain. To assess for tenderness, the nurse should gently do which of the following?
a. Auscultate the costovertebral angle. b. Palpate the tenth intercostal space. c. Percuss the costovertebral angle. d. Palpate the area above the ischial spine.
A depressed client is to have his first electroconvulsive therapy session tomorrow morning
The interventions that would routinely be implemented in preparing the client for treatment include (more than one answer may be correct) A. administering pretreatment medication as ordered 30 to 45 minutes before treatment. B. withholding food and fluids for a minimum of 6 hours before treatment. C. removing dentures, glasses, contact lenses, and hearing aids. D. restraining the client in bed with padded limb restraints.
A 55-year-old male patient has been diagnosed with open-angle glaucoma. The physician's orders include one drop of pilocarpine 1% in each eye every 6 hours
The patient states that he doesn't understand the need for medication because he doesn't have symptoms of an eye problem. Which of the following nursing diagnoses would be most appropriate? A) Noncompliance related to refusal to use eye drops B) Deficient knowledge related to the disease C) Anxiety related to a new health problem D) Disturbed body image related to the need for medication
With regard to the gastrointestinal (GI) system of the newborn, nurses should be aware that:
a. The newborn's cheeks are full because of normal fluid retention. b. The nipple of the bottle or breast must be placed well inside the baby's mouth because teeth have been developing in utero, and one or more may even be through. c. Regurgitation during the first day or two can be reduced by burping the infant and slightly elevating the baby's head. d. Bacteria are already present in the infant's GI tract at birth, because they traveled through the placenta.