Which of the following electrolyte abnormalities would be expected to be present in a patient who has a drug order for a cation-exchange resin?
a. Hypernatremia
b. Hypocalcemia
c. Hyperkalemia
d. Hypochloremia
ANS: C
A cation-exchange resin is used to treat hyperkalemia in patients. It exchanges sodium for hy-drogen ions in the stomach, and then exchanges hydrogen for excess cations, such as potassium.
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A male nurse is enjoying a very hot summer day at the zoo when he notices a family approaching. An elderly member of the family is moving very slowly and being scolded by another adult, saying "You are not sick. Let's keep moving." The nurse touches the elderly adult who has a flushed face and notices clammy and moist skin. What should the nurse say to the adult?
a. "I'm a nurse, and your family member needs to go to the emergency department right now." b. "I'm a nurse, and your family member has heat stroke. I'm calling 911." c. "Take your family member to the air-conditioned restaurant, and have him drink a cold soda immediately." d. "Take your family member to the air-conditioned restaurant, and let your family rest for a while."
The client relates a personal history full of time losses, unexplained changes in relationships, out-of-body experiences, and the awareness of other parts of her self. These are char-acteristic of
1. identity diffusion. 2. dissociative amnesia. 3. depersonalization disorder. 4. dissociative identity disorder.
The nurse is orienting the client to the facility. The nurse encourages the client to send any unnecessary items home with the family. Based on this information, which items should the nurse encourage the client to send home with family members?
1 . Glasses 2 . Jewelry 3 . Credit cards 4 . Cash A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
The daughter of an 80-year-old woman states that her mother has been taking alendronate (Fosamax) for several years for the treatment of osteoporosis
The daughter tells the nurse that her mother never had any complaints of nausea after taking this medication until recently. How should the nurse respond to the daughter's statement? A) "It could be that your mother's stomach empties more slowly than it used to, which is a normal result of aging." B) "As your mother gets older, the medication travels down her esophagus more slowly than it used to. This can cause nausea." C) "Because your mother processes drugs more slowly than when she was younger, there is more time during which they can cause nausea." D) "As your mother ages, she has more of the receptors that trigger nausea. This is a normal change that accompanies the aging process."