A nurse is assessing clients for fluid and electrolyte imbalances. Which client should the nurse assess first for potential hyponatremia?
a. A 34-year-old on NPO status who is receiving intravenous D5W
b. A 50-year-old with an infection who is prescribed a sulfonamide antibiotic
c. A 67-year-old who is experiencing pain and is prescribed ibuprofen (Motrin)
d. A 73-year-old with tachycardia who is receiving digoxin (Lanoxin)
ANS: A
Dextrose 5% in water (D5W) contains no electrolytes. Because the client is not taking any food or fluids by mouth (NPO), normal sodium excretion can lead to hyponatremia. The sulfonamide antibiotic, ibuprofen, and digoxin will not put a client at risk for hyponatremia.
You might also like to view...
A patient has GERD and is taking ranitidine (Zantac). She continues to have gastric discomfort and asks whether she can take an antacid. Which of the following is an appropriate response by the nurse?
A) "Sure, you may take an antacid with ranitidine." B) "No, the two drugs will work against each other." C) "Yes, but be sure to wait at least 2 hours to take the antacid after you take the ranitidine." D) "I wouldn't advise it. You may experience severe constipation."
Patients are most likely to be motivated and agreeable to following their plan of care when
a. their health care provider explains the plan in terms they can understand. b. they participate in the decision-making process as the plan is developed. c. they establish their own nursing diagnoses. d. their physician and nurse collaborate in developing the plan.
The nursing assistant performs or assists with all procedures that
A. she has read about in the textbook. B. she has been instructed to do by a nurse. C. are permitted by law in her state. D. she feels qualified to do.
When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mother's right side close to midline
What is the likely position of the fetus? a. ROA c. RSA b. LSP d. LOA