A client is brought to the hospital with prerenal azotemia from hypovolemia. What interven-tion should be initiated if prerenal azotemia is to be reversed?
A. Administration of aminoglycoside antibiotics
B. Hydration with intravenous fluids
C. Initiation peritoneal dialysis
D. Restriction of PO fluids
B
Hypoperfusion of the kidney that results in prerenal azotemia can be reversed with increasing intravascular volume, increasing cardiac output, and increasing blood pressure. IV fluids are given to restore intravascular volume.
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Doxycycline (Vibramycin) has been prescribed for a patient who has gonorrhea. What instruction should the nurse provide to the patient before beginning the medication?
a. Take the medication with food or crack-ers. b. Refrain from sexual relations for 4 weeks. c. Follow up to determine if the treatment was effective. d. Keep the medication in the refrigerator.
Which two drug types have almost identical chemical structures?
a. Aminoglycosides and "sulfa drugs" b. Macrolides and fluoroquinolones c. Penicillins and cephalosporins d. Tetracyclines and penicillins
The client with megaloblastic anemia asks the nurse what causes this disorder. The nurse's best response is:
a. "Megaloblastic anemia results from inadequate iron and niacin in your diet." b. "Megaloblastic anemia results from inadequate stores of vitamin K and vitamin C in the body." c. "Megaloblastic anemia results from vitamin B12 or folic acid deficiency or both." d. "We really don't know the cause, but it probably is related to your smoking."
One bed is available on the inpatient eating disorders unit. Which patient should be admitted to this bed? The patient whose weight decreased from:
a. 150 to 100 pounds over a 4-month period. Vital signs are temperature, 35.9° C; pulse, 38 beats/min; blood pressure 60/40 mm Hg b. 120 to 90 pounds over a 3-month period. Vital signs are temperature, 36° C; pulse, 50 beats/min; blood pressure 70/50 mm Hg c. 110 to 70 pounds over a 4-month period. Vital signs are temperature 36.5° C; pulse, 60 beats/min; blood pressure 80/66 mm Hg d. 90 to 78 pounds over a 5-month period. Vital signs are temperature, 36.7° C; pulse, 62 beats/min; blood pressure 74/48 mm Hg