A child diagnosed with congestive heart failure is started on digoxin (Lanoxin) and spironolactone (Aldactone)
The mother questions why the child was placed on spironolactone (Aldactone) instead of furosemide (Lasix), which her elderly grandmother uses. The nurse explains that spironolactone (Aldactone) is a diuretic that: 1. Produces rapid diuresis.
2. Blocks reabsorption of sodium and water in renal tubules.
3. Spares potassium.
4. Promotes vascular relaxation.
3
Rationale 1: Furosemide (Lasix) produces rapid diuresis and blocks reabsorption of sodium and water in renal tubules.
Rationale 2: Furosemide (Lasix) produces rapid diuresis and blocks reabsorption of sodium and water in renal tubules.
Rationale 3: Spironolactone (Aldactone) is a maintenance diuretic that is potassium-sparing. Hypokalemia would increase the risk of lanoxin toxicity.
Rationale 4: ACE inhibitors promote vascular relaxation.
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The nurse is caring for a woman in the emergency room who is complaining of chest pain. She states that she was walking from her apartment to the grocery store when the pain became very severe. She reported that people were following her
She said she couldn't really see them but she could hear them talking about "grabbing me." While the woman is explaining the event, she alternates between wringing her hands and manipulating the items in her purse over and over. The nurse would obtain what further assessment data in this situation? 1. Spiritual affiliations 2. Dietary preferences and habits 3. Review of systems 4. Focused psychosocial interview
A nurse working at a battered woman's shelter is counseling a pregnant woman who has just en-tered the shelter. When assessing the client's history, which information would the client most likely report?
a. A history of abuse before pregnancy b. A history of child abuse c. A history of multiple pregnancies d. A history of substance abuse
Which of the following statements best describes health risk appraisal and risk reduction?
1. Data about health risks are collected and analyzed; then a health risk profile is generated. 2. The goal is prevention or early detection of disease. 3. The health insurance industry recognizes the potential of risk reduction for cost containment. 4. An epidemiological approach is used to identify risks at the individual level.
A patient with a CPAP mask is swallowing air and belching, which causes discomfort. You should
A) inform the RCP immediately. B) elevate the patient's head. C) reposition the mask. D) remove the mask and call the RN.