A nurse suspects that a client who is receiving acetazolamide is developing hyponatremia based on assessment of which of the following? Select all that apply
A) Bradycardia
B) Anorexia
C) Hypotension
D) Hypoglycemia
E) Decreased skin turgor
Ans: C, E
Feedback:
The following are signs of hyponatremia: cold, clammy skin; decreased skin turgor; confusion; hypotension; irritability; and tachycardia.
You might also like to view...
Causes of constipation in an older adult may include all of the following except
a. Aluminum-containing antacids b. Diuretics c. Antibiotics d. Sedatives
The nurse is caring for a patient infected with the human immunodeficiency virus (HIV)
The nurse understands that this patient may be vulnerable to opportunistic infections, especially if there were an indication of the HIV conversion to acquired immunodeficiency syndrome (AIDS). Which of the following findings would most concern the nurse? a. Very low helper T lymphocyte count b. High level of macrophages c. Low red blood (RBC) cell count d. Low neutrophil count
The clinician is assessing a patient complaining of hearing loss. The clinician places a tuning fork over the patient's mastoid process, and when the sound fades away, the fork is placed without restriking it over the external auditory meatus
The patient is asked to let the clinician know when the sound fades away. This is an example of which type of test? a. Weber test b. Schwabach test c. Rinne test d. Auditory brainstem response (ABR) test
A client complains of not being able to stay awake during the day even after sleeping throughout the night. What should the nurse suggestion to this client?
1. Go to your physician for a physical examination. 2. Go to a mental health professional for evaluation of possible depression. 3. Purchase an over-the-counter sleep aid to deepen nighttime sleep. 4. Drink more caffeinated beverages in the daytime to stay awake.