The nurse is caring for a client following hemodialysis. The nursing assessment reveals the client is tachycardic; has pale, cool skin; and has a decreased urine output
Based on this data, the nurse determines that the client has not met which expected outcome associated with hemodialysis?
A) Cardiac decompensation
B) The pharmacological effects of a diuretic infused in the dialysate
C) The effects of rapidly infused intravenous fluids
D) A reduction of extracellular fluid
Answer: D
The client on hemodialysis is expected to have a reduction of extracellular fluid, not a fluid deficit that puts the client at risk. Diuretics and IV fluids are not administered during hemodialysis. Cardiac decompensation would not be an expected outcome of treatment.
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In 2007, carbamazepine became the first mainstream medication to carry a recommendation by the Food and Drug Administration that patients of Asian descent be tested for the HLA-B*1502 gene before starting drug therapy
Asian patients are almost exclusively carriers of this gene, and if placed on carbamazepine, might develop Stevens-Johnson syndrome. What is the most significant outcome of this recommendation? a. It will provide for early detection of Stevens-Johnson syndrome. b. It will give practitioners the ability to make decisions about medications for patients based on their ethnicity and/or race. c. It will provide a cure for Stevens-Johnson syndrome. d. It will guide genetically based nursing care.
A 23-year-old woman without any known significant medical history comes to the clinic with complaints of fatigue, pallor, and listlessness
After obtaining a health history, the nurse practitioner should initially order which of the following laboratory tests? a. Pregnancy test b. Urinalysis c. Stool for guaiac d. Platelet count
Express in proper metric, household, or other unit notation
five-tenths of a milligram
Select the correct daily dosage range of duloxetine (Cymbalta).
A. 50-200 mg PO B. 40-120 mg PO C. 225-375 mg PO D. 300-600 mg PO