The nurse is caring for a patient who is to receive furosemide (Lasix). Which of these laboratory results should the nurse review first?
a. Serum sodium
b. Serum potassium
c. Urine sodium
d. Urine potassium
ANS: B
Furosemide (Lasix) is a potassium-wasting diuretic. It is essential to monitor and review potassium levels before administering the Lasix, and if the level is too low, it should be held and the RN or physician notified.
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An emergency room nurse assesses a client who has been raped. With which health care team member should the nurse collaborate when planning this client's care?
a. Emergency medicine physician b. Case manager c. Forensic nurse examiner d. Psychiatric crisis nurse
When sponging the client who has a high fever, the nurse observes the client shivering. What is the nurse's best first action?
A. Switch from tap water to saline. B. Document the observation as the only action. C. Stop sponging the client and retake his or her temperature. D. Increase the temperature of the water and continue sponging.
A male nurse performing an assessment should take extra care to ask permission before touching a patient who is
1. A Latina woman. 2. An African American man. 3. A Native American man. 4. Any of the above.
A nurse is assessing a client who is experiencing occasional feelings of sadness because of the recent death of a beloved pet. The client's appetite, sleep patterns, and daily routine have not changed
How should the nurse interpret the client's behaviors? A. The client's behaviors demonstrate mental illness in the form of depression. B. The client's behaviors are extensive, which indicates the presence of mental illness. C. The client's behaviors are not congruent with cultural norms. D. The client's behaviors demonstrate no functional impairment, indicating no mental illness.