The nurse assesses a patient who is taking lithium (Lithibid) and notes a large output of clear, dilute urine. The nurse suspects which cause for this finding?
a. Cardiovascular complications
b. Expected lithium side effects
c. Increased mania
d. Lithium toxicity
ANS: D
An increased output of dilute urine is a sign of lithium toxicity.
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A nurse assesses a neutrophil count of 900/mm3 in a patient with acute leukemia. What should the nurse anticipate initiating?
a. A high-protein diet b. Increased doses of steroids c. Compromised host precautions d. Injections of blood-building medication
The nurse, reviewing data for a patient receiving hospice, believes death is imminent. Which manifestations of impending death did the nurse observe on the patient's medical record? (Review the information provided from the patient's medical record.)
1. vital signs and skin appearance 2. vital signs and output 3. vital signs and intake 4. vital signs and lung sounds
The nurse is preparing to use an antiseptic. Which statement is correct regarding how antiseptics differ from disinfectants?
a. Antiseptics are used to sterilize surgical equipment. b. Disinfectants are used as preoperative skin preparation. c. Antiseptics are used only on living tissue to kill microorganisms. d. Disinfectants are used only on nonliving objects to destroy organisms.
Which dietary guideline would be appropriate for the older adult homebound client with advanced respiratory disease who informs the nurse that she has no energy to eat?
A) Snack on high-carbohydrate foods frequently. B) Eat smaller meals that are high in protein. C) Contact the physician for nutrition shake. D) Eat one large meal at noon.