A patient prescribed a thiazide diuretic for hypertension reports having cramps and feeling like the heart is skipping beats. What side effect of this drug do you suspect?

a. Muscle breakdown
b. Orthostatic hypotension
c. Hypokalemia
d. Dysrhythmia


ANS: C

Nursing

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A patient refuses to take his blood pressure medication because "I feel totally fine and don't need it." What action by the nurse is best?

a. Assess the patient's time orientation. b. Document the patient's non-compliance. c. Educate the patient about the medication. d. Warn the patient about possible complications.

Nursing

A long-term care nurse is preparing an educational program for his peers regarding appropriate use of antipsychotic medications. What information should the nurse include?

A) Residents who use antipsychotic drugs must receive gradual dose reductions, drug holidays, or behavioral programming unless clinically contraindicated, in an effort to discontinue the use of these drugs. B) Wandering, restlessness, and impaired memory are appropriate indications for the use of antipsychotic medications. C) Fidgeting, nervousness, and uncooperativeness are appropriate indications for the use of antipsychotic medications. D) Use of antipsychotic medications would never be considered a chemical restraint.

Nursing

A patient receiving enoxaparin (Lovenox) is scheduled for surgery. Why should the nurse discuss this medication with the anesthesia care provider?

1. Correct body alignment during surgery will be critical. 2. Aspirin may need to be substituted for the enoxaparin. 3. The patient should not receive medications that interact with enoxaparin. 4. The patient should not receive an epidural.

Nursing

A Southeast Asian woman brings her baby into the clinic because the baby is lethargic

The nurse determines that the baby has had diarrhea and vomiting for several days, resulting in dehydration. Physical examination reveals small, round burns on the abdomen. These burns probably are the result of cigarettes or burning cotton used to: a. try to quiet the child and is considered child abuse. b. bring out toxic wind from the body. c. balance heat loss from the body. d. brush the body with ruda to allow spirits to return.

Nursing