The nurse is caring for a patient who is prescribed a thiazide diuretic. What instructions should the nurse provide this patient who reports fatigue due to sleep deprivation?
a. "Make position changes quickly."
b. "Take your medication early in the day."
c. "Take your medication before bedtime."
d. "Empty your bladder after the first dose."
ANS: B
If the patient's lifestyle is to sleep at night and the medication is taken later in the day, it can interfere with sleep due to the need to void. So, the medication should be taken early in the day for this patient. A. Position changes should be made slowly to reduce the risk of orthostatic hypotension. C. Taking the medication before bedtime can increase sleep deprivation. D. There is no reason for the patient to empty the bladder after the first dose of the medication.
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To distinguish a physiologic split S2 heart sound, it is best to listen with the stethoscope at:
A. Left fifth intercostal space midclavicular line B. Fourth intercostal space left sternal border with patient holding his or her breath C. Second intercostal space left sternal border with inspiration D. Fourth intercostal space right sternal border with expiration
Which situation best fits the use of a telehealth delivery system?
1. Chronic congestive heart failure clients are assessed in rural clinics using telecommunication technology, and are given instructions on how to best manage their care. 2. Clients may sign up with a telehealth provider, who provides the client with health promotion information and activities. 3. Continuing education courses for health care professionals are provided to the education department of acute-care institutions for continuing education credits. 4. A physician consultant receives an x-ray, CT scan, and EKG via the telecommunication network to manage the care of a client with congestive heart failure and diabetes.
A teenage boy was hospitalized 3 weeks ago. He has been confined to bed throughout his hospital stay because of a crushed pelvis
His parents tell the nurse, "Our son is just staring off into space; he won't talk to us. We are worried because he has not even listened to his iPod, watched television, or played his video games for 2 days. That is so unlike him." What is the best response the nurse can make? a. "I will inform his doctor and see whether we can get your son started on an antidepressant medication." b. "He is at a critical time in his life; teens are often moody, and being in the hospital with an injury will only make that worse." c. "Your son had a major injury, and his immobility might be causing him to feel isolated and depressed." d. "He is bored because he has been in the hospital for 3 weeks; I'll try to find something new for him to do."
Which cells are responsible for humoral immunity?
a. antibodies c. B-cells b. immunoglobulins d. T-cells