A client is admitted to the acute care facility for anorexia and nausea. The nurse would expect to note imbalances of which electrolytes?
1. Phosphorus and chloride
2. Magnesium and potassium
3. Magnesium and calcium
4. Sodium and potassium
3
Rationale: Common manifestations of chloride and phosphorus imbalances include increased muscle excitability; tetany; decreased respirations; stupor; rapid, deep breathing; muscle weakness; paresthesias; numbness; tingling; lethargy; speech defects; renal failure; arrhythmias; and muscle twitching.
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The home care nurse is preparing to visit an older female patient who lives in her son's home. The medical record indicates that the client has a high socioeconomic status. It also indicates that the son is Hispanic and is slightly cognitively impaired. Which risk factors for elder abuse would be most concerning?
1. Male gender 2. Hispanic race 3. Impaired cognitive status 4. High socioeconomic status
Which of the following is not a method of data collection?
A. questionnaires B. interviews C. experiments D. observations
During a health history the nurse plans to assess the functioning of a patient's central nervous system (CNS). Which question should the nurse ask to assess this function?
1. "Do you get dizzy when moving from a sitting to standing position?" 2. "Do you have difficulty adjusting to changes in temperature?" 3. "Do you have difficulty falling asleep in the evening?" 4. "Have you had any weight loss?"
A patient being treated for depression has taken 300 mg amitriptyline (Elavil) daily for a year. The patient calls the case manager at the clinic and says, "I stopped taking my antidepressant 2 days ago
Now I am having cold sweats, nausea, a rapid heartbeat, and nightmares." The nurse will advise the patient to: a. "Go to the nearest emergency department immediately." b. "Do not to be alarmed. Take two aspirin and drink plenty of fluids." c. "Take a dose of your antidepressant now and come to the clinic to see the health care provider." d. "Resume taking your antidepressants for 2 more weeks and then discontinue them again."