The client states that she has been using licorice root as a dietary supplement to manage "hot flashes" associated with menopause
During the assessment and review of the client's laboratory results, which of the following findings may be attributed to this substance? (Select all that apply.) 1. Hypertension
2. Serum potassium is 5.4 mEq/L
3. Edema
4. Decreased apical heart rate
5. Hypothermia
1, 3
Rationale: The client who uses licorice root may experience clinical manifestations associated with mineralcorticoid excess. The client may have hypertension, hypokalemia, and edema. The client's serum potassium level will be low. The client may experience edema associated with mineralcorticoid excess. The nurse would not expect to find that the client has a decreased apical pulse. The nurse would not expect to find that the client is experiencing hypothermia.
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A client who had a total colectomy with an ileostomy has rectal packing in place to absorb drainage and promote healing. When does the nurse know that the rectal packing will be removed?
A) Within 24 hours B) 2 days C) Within 1 week D) In 2 weeks
A ventilated client has become hypoxic, with a pulse oximeter reading falling from 98% to 88%. The high-pressure alarm is sounding on the ventilator. The nurse has checked the tubing integrity and found no problems
The nurse has assessed the lung sounds and the sounds are equal bilaterally, but adventitious sounds are present. What action will the nurse take next? 1. Suction the client. 2. Contact the health care provider. 3. Turn the client on his side. 4. Silence the alarm.
A new mother is questioning the nurse about the newborn's urinary output, which is infrequent and scanty
The nurse recognizes this pattern as normal, and knows that contributing factors include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The infant's glomerular filtration rate is high in comparison with the adult rate. 2. Full-term newborns are less able than are adults to concentrate urine because the tubules are short and narrow. 3. The ability to concentrate urine fully is developed at the age of 1 year. 4. Feeding practices can affect the osmolarity of the urine, but have limited effect on concentration of the urine. 5. The newborn kidney is limited in its dilutional capacity.
The patient is admitted to the unit with a stage III pressure ulcer. When the different types of support surfaces are compared, which would be most therapeutic for this patient?
a. Foam mattress b. Gel overlay c. Air-fluidized bed d. Air mattress