A patient taking a diuretic is assessed by the nurse as having an erratic pulse and muscle weakness. What should the nurse suspect is deficient?
a. Sodium
b. Potassium
c. Chloride
d. Iron
ANS: B
Diuretics can deplete potassium through urine excretion and lead to muscle weakness and cardiac arrhythmias.
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A nurse working in the ICU receives orders for dopamine, which is an intravenous vasoactive drug. The priority assessment and interventions specific to the administration of vasoactive medications are:
A) Frequent vitals, monitoring the central-line site, and providing accurate drug titration B) Reviewing medications, performing a focused cardiovascular assessment, and providing patient education C) Reviewing the laboratory findings, monitoring urine output, and assessing for peripheral edema. D) Routine vitals, monitoring the peripheral IV site, and providing early discharge instructions.
____________ is the reciprocal process in which messages are sent and received between people
ANS:
All of the following statements about care maps are true EXCEPT
a. care maps are difficult to implement b. care maps are based on standards c. care maps can be used by all members of the health care team d. care maps are often used to manage chronic problems
A nurse notices that the angle of the patient's proximal nail fold and the nail plate are almost a flat line; about 160 degrees. How does the nurse interpret this finding?
a. This patient has chronic pulmonary disease. b. This is an expected finding. c. This is due to stress to the nails. d. This is associated with anemia.