A patient with renal failure reports all of the following during the medical history. Which is most likely to have precipitated the patient's renal failure?
a. Recent computed tomography of the brain with and without contrast
b. A recent bout of congestive heart failure after an acute myocardial infarction
c. Twice-daily prescription of Lasix 40 mg by mouth
d. A recent bout of benign prostatic hypertrophy and transurethral resection of the prostate
A
Intravenous contrast media can be nephrotoxic, especially with the patient's pre-existing cardiac disease. The other choices, although possible causes, are less likely than the intravenous contrast media.
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A patient has recently been diagnosed with diabetes. The patient is clinically obese and is sedentary. How can the nurse best ensure potential success to increase activity in this patient?
A) Set up appointment times at a local fitness center for the patient to attend. B) Have a family member ensure the patient follows a suggested exercise plan. C) Construct an exercise program and have the patient follow it. D) Identify barriers with the patient that will inhibit change.
A disaster supply kit for a family of five should contain how much water?
a. 5 gallons b. 15 gallons c. 25 gallons d. 30 gallons
The nurse suspects that the patient with type 1 diabetes may be experiencing the Somogyi phenomenon when the patient exhibits:
1. headache on awakening and enuresis. 2. 6 AM blood sugar of 58 and nausea. 3. abdominal pain and blood pressure elevation. 4. drowsiness and disorientation after eating.
A school-age child had an upper respiratory tract infection for several days and then began having a persistent dry, hacking cough that was worse at night. The cough has become productive in the past 24 hours. This is most suggestive of which diagnosis?
a. Bronchitis b. Bronchiolitis c. Viral-induced asthma d. Acute spasmodic laryngitis