A patient with chronic hypertension is admitted to the hospital
During the admission assessment, the nurse notes a heart rate of 96 beats per minute, a blood pressure of 150/90 mm Hg, bibasilar crackles, 2+ pitting edema of the ankles, and distension of the jugular veins. The nurse will con-tact the provider to request an order for which medication? a. ACE inhibitor
b. Digoxin [Lanoxin]
c. Furosemide [Lasix]
d. Spironolactone [Aldactone]
C
This patient shows signs of fluid volume overload and needs a diuretic. Furosemide is a loop di-uretic, which can produce profound diuresis very quickly even when the glomerular filtration rate (GFR) is low. An ACE inhibitor will not reduce fluid volume overload. Digoxin has a positive inotropic effect on the heart, which may improve renal perfusion, but this is not its primary effect. Spironolactone is a potassium-sparing diuretic with weak diuresis effects; it is used in conjunction with other diuretics to improve electrolyte balance.
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A child is receiving chemotherapy. The nurse assesses the child's oral cavity and notes the following: raspy voice, thick saliva, and debris on the teeth. Which action by the nurse is the most appropriate?
A. Have the child use commercial mouthwash. B. Hold the next dose of chemotherapy. C. Increase the frequency of oral care. D. Place the child on NPO status.
You have four rooms to choose from for your older client to be admitted this afternoon. Which room would you choose?
a. A brightly lit, blue room with cozy throw rugs b. An orange-carpeted room with soft light-ing and yellow walls c. A brightly lit, blue room with an EZ-Glide wax floor d. A fluorescent-lighted room with green walls and a glossy, tiled floor
What predisposes the adolescent to feel an increased need for sleep?
a. An inadequate diet b. Rapid physical growth c. Decreased activity that contributes to a feeling of fatigue d. The lack of ambition typical of this age-group
There are several approaches to family assessment that use particular concepts that nurses typically encounter in practice. These models provide an organized framework with which to conduct a family assessment
Using your knowledge that the key to select a certain model is to consider the situation, health concerns, and cultural background of the family, what is the aim of the family assessment with a Life Span Development approach? A) To identify family routines and rituals that could influence family health B) To identify family health practices within a social and historical context C) To assess health patterns in 11 areas of family health D) To engage the family as a way to identify its strengths with attention to family dynamics and concerns related to health and illness