The nurse is reviewing the laboratory results of a client with muscle cramps. The electrolyte most likely out of balance is:
1. Sodium.
2. Potassium.
3. Calcium.
4. Bicarbonate.
3
Rationale: Hyponatremia can manifest as muscle weakness.
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The daughter of an older patient believes that fresh air kills germs and keeps her father's bedroom window open at night. Because her father wears pajamas, she insists that he is comfortable. What recommendation should the nurse make?
A) The patient should wear flannel pajamas. B) Place one quilt and two blankets on the patient's bed C) Keep the temperature in the patient's room not lower than 75°F D) Ensure that the window in the patient's room has permanent screening
The nurse is caring for a client who has smoked for many years and documents that "clubbing is present.". Which of the following techniques is the best way for the nurse to determine the presence of clubbing?
1. Place two thumbs touching side-by-side. 2. Place two of the same fingers from each hand together. 3. Place two index fingers together tip-to-tip. 4. Place the hands out straight with the palm sides down.
A 75-year-old patient tells the nurse about experiencing extreme drowsiness after taking an over-the-counter cold medication. The nurse notes the patient ingested the prescribed amount of the medication. What should this information suggest to the nurse?
1. Older age is influencing the patient's response to the medication. 2. More medication was taken than was reported. 3. A reaction between the cold medication and other routine medications has occurred. 4. An allergic reaction to the cold medication occurred.
The nurse understands that when the elderly use oral medications there is:
a. increased hydrochloric acid secretion in the stomach. b. shorter gastric emptying time. c. slower intestinal movement. d. greater gastric and intestinal blood flow.