Mr. Bear is hospitalized for treatment of dehydration. His treatment plan includes large amounts of IV fluids. Mr. Bear also takes propranolol (Inderal) for migraines and cimetidine for gastric ulcers
On rounds, you notice bilateral edema of the lower extremities and edema of the periorbital area. Respirations are 26 . You suspect
a. A medication reaction
b. CHF
c. Impending myocardial infarction
d. Gout
B
An acute episode of CHF may be caused by increased fluids and beta-blockers (Inderal). Gout (response D) and an impending myocardial infarction (response C) would not create rapid respirations and periorbital edema. A medication reaction might cause periorbital edema and rapid respirations, but it would not normally cause lower extremity edema.
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The health care provider is prescribing medication to treat a client's severe gastroesophageal reflux disease (GERD). Which medication does the nurse anticipate teaching the client about?
a. Magnesium hydroxide (Gaviscon) b. Ranitidine (Zantac) c. Nizatidine (Axid) d. Omeprazole (Prilosec)
In May 2008, in response to an outbreak of TB in her city, public health nurse Jenny Myers was called on to direct screening in two schools. Andrews Elementary School had 400 students during the screening, and 10 students tested positive
At Blackwell High School, 30 of 1200 students tested positive. Following analysis, Jenny determined that the TB prevalence rates were: 1. About the same at both schools. 2. Higher at Blackwell than at Andrews. 3. Higher at Andrews than at Blackwell. 4. Impossible to determine due to the small population size.
Where do most accidents occur?
a. In the home b. In the car c. At day care d. On the playground
An 80-year-old patient has a normal creatinine level but is showing signs of drug toxicity. Which of the following factors is related to normal creatinine and signs of toxicity?
A) Edema B) Diminished muscle mass C) Increase appetite D) Gastrointestinal impairment