A patient with an acute kidney injury is prescribed sodium polystyrene sulfonate (Kayexalate). What should the nurse instruct the patient regarding the expected effect of this medication?
A. Exchange calcium for sodium.
B. Replace magnesium.
C. Remove potassium.
D. Replace sodium.
Answer: C
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When caring for an older adult, the nurse recognizes a realistic goal for this client is to achieve a spiritual sense of harmony by encouraging the client to:
a. discuss the age-related changes c. discuss the nurse's personal beliefs b. discuss feelings about spirituality d. limit discussion on this topic
To palpate the anterior thorax, you should use the finger pads of your dominant hand and
a. start at the apex of the right lung (above the clavicle), move down to each rib and intercostal space, and then repeat on the left. b. palpate any areas of tenderness first. c. start at the base of the right lung, move upward to each rib and intercostal space, and then repeat on the left. d. have the patient lift the arms over the head to stretch the skin and enhance detection of any abnormal findings.
A patient being treated for a traumatic brain injury is demonstrating signs of contractures as a complication associated with immobility. Which nursing intervention is indicated?
1. Maintain neutral body position. 2. Turn and reposition every 4 hours. 3. Apply antiembolism stockings. 4. Ensure oxygen saturation level of 92%.
The nurse teaches a client who has begun taking phenelzine, a monoamine oxidase inhibitor (MAOI), about the medication. Which foods are allowed in the diet of the client taking phenelzine?
A. Peas B. Broccoli C. Potatoes D. Red wine E. Avocados F. Cereal with raisins