The client asks the nurse why the health care provider prescribed acetazolamide (Diamox), a diuretic, to treat gout. What is the nurse's best response?
a. It causes an alkaline urine, which facilitates the elimination of uric acid.
b. It increases alkalinity of urine, thus decreasing the formation of uric acid.
c. It causes an acid urine, which facilitates the elimination of uric acid.
d. It decreases alkalinity of urine, thus decreasing the formation of uric acid.
Ans: a. It causes an alkaline urine, which facilitates the elimination of uric acid.
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The nurse is preparing a young adult, female patient for intravenous pyelogram (IVP). What are the priority actions by the nurse prior to this procedure? Select all that apply
a. Obtain an informed consent prior to the procedure. b. Ask whether the patient has an allergy to shellfish. c. Check laboratory results for serum BUN and creatinine. d. Encourage increased fluid intake prior to the procedure. e. Determine whether the patient has had a barium enema in the past 4 days.
The nurse is caring for a patient admitted with the early stages of septic shock. The nurse assesses the patient to be tachypneic, with a respiratory rate of 32 breaths/min
Arterial blood gas values assessed on admission are pH 7.50, CO2 28 mm Hg, HCO3 26 . Which diagnostic study result reviewed by the nurse indicates progression of the shock state? a. pH 7.40, CO2 40, HCO3 24 b. pH 7.45, CO2 45, HCO3 26 c. pH 7.35, CO2 40, HCO3 22 d. pH 7.30, CO2 45, HCO3 18
Vulnerable groups and families often have multiple risk factors. An example of this is
1. Smokers who use chewing tobacco as well as cigarettes 2. Substance abusers who test positive for human immunodeficiency virus (HIV) and who are homeless 3. Persons with limited access to care because they live in a rural area 4. New mothers needing information about baby and child care
Which factor should be the primary consideration when assessing the advisability of prescribing psychotropic medications for a client with AIDS?
1. Length of time since the diagnosis was made 2. Characteristics of the emotional distress 3. Nutritional status of the client 4. Tolerance for oral medications