A client is prescribed a diuretic that is to be taken twice a day. When instructing the client about the schedule for administration, the nurse would suggest that the client take the drug at which times?
A) In the early morning and at bedtime
B) After lunch and dinner
C) At breakfast and midafternoon
D) Midmorning and before dinner
Ans: C
Feedback:
Twice-a-day dosing should be administered early in the morning (e.g., 7 a.m.) and early afternoon (e.g., 2 p.m.) to prevent the drug from interfering with the client's sleep.
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A patient has been prescribed flecainide (Tambocor) for treatment of ventricular dysrhythmia. Which finding should the nurse discuss with the prescriber prior to initiating this therapy?
1. The patient has lost 6 pounds since hospital admission. 2. The patient experienced nausea while taking digoxin (Lanoxin) many years ago. 3. The patient's urine output was 20 mL over the last hour. 4. The patient's potassium level is 4.8 mEq/dL this morning.
Culture is a set of beliefs, values, and assumptions about life that are widely held among a group of people and are transmitted intergenerationally. An example of a behavior that may be defined by culture is:
1. Speaking a dialect of a language in a local region 2. Standing when an older adult gets on the bus to give him a seat 3. Immigrating to the United States seeking work 4. An organizational structure of a cultural group
The nurse understands that individual access to care
A) depends on the client preference. B) is limited or promoted by factors in the social environment. C) can be rectified by the correct agency referrals. D) is primarily related to continuity of care issues.
A neonate is born by emergency C/S because of fetal-maternal hemorrhage. At delivery, the infant fails to respond to the steps of resuscitation. The baby is displaying signs of shock. The appropriate intervention would be to administer:
a. epinephrine b. sodium bicarb c. volume expanders