The nurse is caring for a patient who is taking hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin). Which potential electrolyte imbalance will the nurse monitor for in this patient?
a. Hypermagnesemia
b. Hypernatremia
c. Hypocalcemia
d. Hypokalemia
ANS: D
Thiazide diuretics can cause hypokalemia, which enhances the effects of digoxin and can lead to digoxin toxicity. Thiazides can cause hypercalcemia.
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A nurse is discussing fibrinolytic therapy for the acute phase of STEMI management with a group of nursing students. Which statement by a student indicates understanding of this therapy?
a. "Fibrinolytics are effective when the first dose is given up to 24 hours after symp-tom onset." b. "Fibrinolytics should be given once car-diac troponins reveal the presence of STEMI." c. "Fibrinolytics should be used with caution in patients with a history of cerebrovascu-lar accident." d. "Patients should receive either an anti-coagulant or an antiplatelet agent with a fibrinolytic drug."
The assessment a nurse performed on a 12-year-old boy demonstrated a positive Kernig's sign and a Brudzinski's sign. Identify the priority for the nurse's next action
1. Document the findings and note as normal. 2. Further assess the neurological function of the child and call the doctor with a report. 3. Explain to the patient that the assessment was abnormal and there is no a cause for concern. 4. Prepare the child for a lumbar puncture.
A resident has angina. The person needs to:
a. Have nitroglycerin available at all times b. Have a portable oxygen tank available at all times c. Stay inside d. Exercise vigorously
The nurse is visiting the day care center for routine assessment of the children. After spending time with the children in one of the playrooms, the nurse suspects that a child has a visual deficit as a result of observing:
1. Poor balance and gait 2. An increase in weight 3. Sitting and rocking back and forth 4. A failure to respond when touched