An older male patient with an increased risk of MI is taking furosemide [Lasix] and low-dose aspirin. The patient is admitted to the hospital, and the nurse notes an initial blood pressure of 140/80 mm Hg
The patient has had a 10-pound weight gain since a previous admission 3 months earlier. The patient has voided only a small amount of concentrated urine. The serum creatinine and blood urea nitrogen (BUN) levels are elevated. The nurse will contact the provider to discuss: a. adding an antihypertensive medication.
b. obtaining serum electrolytes.
c. ordering a potassium-sparing diuretic.
d. withdrawing the aspirin.
D
This patient shows signs of renal impairment, as evidenced by weight gain despite the use of di-uretics, decreased urine output, hypertension, and elevated serum creatinine and BUN. ASA can cause acute, reversible renal impairment and should be withdrawn. Hypertensive medications do not treat the underlying cause. Serum electrolytes are not indicated. Addition of a potas-sium-sparing diuretic is not indicated.
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The nurse cautions a patient that one of the characteristics of a venous stasis ulcer is:
1. painlessness. 2. poikilothermy. 3. pale color. 4. location near the groin.
In working with the caregivers of a child with an acute or chronic illness, the nurse would:
a. teach care early and allow the caregivers to provide daily care for as many aspects of the child's care as possible b. delegate care of the child to a nurse's aide and make certain he or she understands the care delegated and completes it c. take responsibility for the child's care until the day before the child leaves, and then give caregivers instructions d. teach care daily and let the caregivers do a return demonstration just before discharge
While administering any type of topical medication, it is important to remember to:
a. Not worry about gloves because they are not required b. Not get any medication on your skin c. Only place the medication on skin that has been sterilized d. Use sterile gloves—always
The nurse is aware that the urge to defecate is increased peristalsis stimulated by the defecation reflex and the ______________________ reflex
Fill in the blank with correct word.