A critically ill older adult is placed on a continuous infusion of high-dose loop diuretic for diuresis. The nurses knows to monitor for
a. hyperkalemia. c. metabolic acidosis.
b. bradycardia. d. hyperchloremic alkalosis.
C
The senescent liver and kidneys are less able to metabolize and excrete drugs, leading to changes in absorption rates, time to peak plasma concentration, and clearance. Examples include high dosing regimens of diuretics to facilitate diuresis. Increased risk of metabolic acidosis then occurs because high diuretic doses increase competition for organic acid transport pathways at the proximal tubule.
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While conducting a health interview the nurse suspects an older patient might be experiencing diabetes. What comment did the patient make that could indicate this diagnosis?
1. "I sometimes have muscle aches in my upper legs at night." 2. "I feel a bit tired by midafternoon and take a 30-minute nap most days." 3. "I've been experiencing blurred vision frequently during the past month." 4. "I'm slightly winded when I walk up a flight of stairs but it passes quickly."
An older man who is a smoker is hospitalized for orthopedic surgery. A nurse takes the oppor-tunity to provide smoking cessation education. The patient asks the nurse: "I have been smoking for most of my life, and I am an old man
Why are you wasting your time telling me to stop smoking? Isn't it too late?" The nurse bases the response on the knowledge that: a. smoking cessation as late as age 75 can reduce premature death by up to 50%. b. smoking cessation as late as age 75 can completely eliminate premature death. c. smoking cessation at a late age will not impact the smoker but can reduce expo-sure of family members to second-hand smoke. d. smoking cessation education is only effec-tive in individuals under age 75.
Which does the nurse implement to remove a peripheral IV for a client taking warfarin (Coumadin)?
1. Pull the IV catheter out quickly. 2. Apply sterile gloves beforehand. 3. Check partial thromboplastin time. 4. Apply pressure for 5 to 10 minutes.
A patient with traumatic injuries to the abdomen expresses the fear of dying. What can the nurse do to provide comfort to the patient at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Face the patient when talking. 2. State phrases that demonstrate care and comfort. 3. Hold the patient's hand. 4. Provide pain medication. 5. Leave the patient to rest.