A client with hyperaldosteronism is prescribed spironolactone (Aldactone). What assessment finding would the nurse evaluate as a positive outcome?
a. Decreased potassium level
b. Decreased crackles in the lung bases
c. Decreased aldosterone
d. Decreased ankle edema
Answer: c. Decreased aldosterone
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When assessing gait, what features does the nurse inspect? (Select all that apply.)
a. Balance b. Ease of stride c. Goniometer readings d. Length of stride e. Steadiness
The nurse has implemented a bladder retraining program in a 65-year-old woman after the removal of an indwelling urinary catheter from this patient
The nurse places the patient on a timed voiding schedule and performs an ultrasonic bladder scan after each void. The nurse notes that the patient has 50 mL of urine remaining in her bladder after voiding. What would be the nurse's best response to this finding? A) Perform a straight catheterization on this patient B) Avoid further interventions at this time, as this is an acceptable finding C) Place an indwelling urinary catheter D) Press on the patient's bladder in an attempt to encourage complete emptying
An older adult patient who is malnourished presents to the emergency department with a serum protein level of 5.2 g/dL. The nurse would expect which clinical manifestation?
a. Pallor b. Edema c. Confusion d. Restlessness
An older adult with restless legs syndrome (RLS) has sought advice from the nurse in an effort to ease the problem. Which of the following statements should the nurse include in the plan?
A) "There are new, over-the-counter medications that can probably resolve your RLS." B) "RLS can be a sign of a much more serious health problem, so I'd encourage you to visit your primary care provider." C) "I see that your iron level is low, let's add foods high in iron to your diet." D) "Even though it's certainly unpleasant, RLS is a normal part of the aging process."