The nurse is caring for a patient with renal artery stenosis who has been prescribed benazepril [Lotensin]. Which laboratory result indicates an adverse effect of this drug?
A. Potassium level of 3.2 mEq/L
B. Blood glucose level of 180 mg/dL
C. Serum creatinine level of 2.3 mg/dL
D. Uric acid level of 10 mg/dL
Ans: C. Serum creatinine level of 2.3 mg/dL
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The nurse teaches a client with genital herpes about effective comfort measures. Which statement by the client indicates a need for further teaching by the nurse?
a. "I can apply warm towels or ice packs to the lesions." b. "Sitz baths three times a day may help ease the pain." c. "I understand there are anesthetic sprays and ointments." d. "I really should try to limit urination due to the pain."
A nurse is teaching environmental control to the parents of a child with asthma. Which statement by the parents indicates effective teaching?
A) "We'll be sure to use the fireplace often to keep the house warm in the winter." B) "We will replace the carpet in our child's bedroom with tile." C) "We'll keep the plants in our child's room dusted." D) "We're glad the dog can continue to sleep in our child's room."
The principle on which nursing intervention should be predicated when a client's aggression quickly
escalates is a. staff should match client's affective level, tone of voice, and so forth. b. immediately use physical containment measures. c. ask the client what will be most helpful to him or her. d. begin with the least restrictive measure possible.
An older adult client with Parkinson's disease is unable to take care of himself. The client frequently soils his bed and is unable to clean himself independently. How should the nurse in this case ensure the client's perineal care?
A) Cleanse to remove secretions from less-soiled to more-soiled areas. B) Cleanse using a cotton cloth and warm water. C) Use tissue rolls to clean the client's perineal area. D) Provide the client with a bed pan or a jar to collect the urine.