The nurse is assessing a client diagnosed with hyperaldosteronism. Which of the following would take the least priority during this period?
1. Assessment of breath sounds
2. Cardiac monitoring
3. Assistance with activities of daily living (ADLs)
4. Review of electrolyte levels
3
The first priority for the nurse is to monitor cardiac and respiratory status. Cardiac status can be impaired because of changes in potassium levels, and fluid balance can be impaired because of sodium, affecting the respiratory status. After the client is stabilized, the nurse can assist the client with activities of daily living.
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The newly licensed nurse has theoretical knowledge and technical skill abilities but has difficulty working within the constraints of the nursing unit. What issue associated with role development does this situation exemplify?
1. Sending 2. Role formation 3. Reality shock 4. Mastery
The nursing assistive person is taking vital signs and reports that a patient's blood pressure is abnormally low. The nurse should
a. Have the nursing assistive person retake the blood pressure. b. Ignore the report and have it rechecked at the next scheduled time. c. Retake the blood pressure herself and assess the patient's condition. d. Have the nursing assistive person assess the patient's other vital signs.
When providing care for newborns, the nurse knows there are conditions which would be contraindications to breast-feeding in the infant. Which of the following is an infant contraindication to breast-feeding?
A) Cleft palate B) Preterm delivery C) Down syndrome D) Galactosemia
A patient has been taking fluoxetine (Prozac) for depression and comes to the clinic to report nausea and jitteriness. The primary care NP notes tremors and sees that the patient is confused. The patient has a heart rate of 95 beats per minute
The NP should: a. change to bupropion (Wellbutrin). b. ask the patient about other medications. c. discontinue the fluoxetine immediately. d. add mirtazapine (Remeron) to treat anxiety.