Which client is at greatest risk for the development of hyperkalemia?
A. 60-year-old man with heart failure using a salt substitute
B. 60-year-old woman taking a thiazide diuretic for hypertension
C. 40-year-old woman taking NSAIDs daily for rheumatoid arthritis
D. 40-year-old man with type 2 diabetes taking an oral antidiabetic agent
A
Salt substitutes are composed of potassium chloride. Heavy use can contribute to the develop-ment of hyperkalemia. NSAIDs promote the retention of sodium but not potassium.
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Testing reveals that a client has a deficiency of C3. What will be the likely impact of this finding on the client's future health?
1. The client will not be as seriously affected as if the deficiency were in C5. 2. A C3 deficiency is very serious and often fatal. 3. The immune system will likely not be affected, but neurological disturbances are likely. 4. As long as the client is careful to avoid exposure to serious infections, the client can expect to live a healthy life.
When giving instructions regarding infection prevention to a patient receiving chemotherapy, the nurse should inform the patient that the highest risk of sustaining infection occurs:
a. during days 1-3 after chemotherapy. b. during days 5-7 after chemotherapy. c. during days 10-14 after chemotherapy. d. the day before the next cycle of chemotherapy begins.
A new nurse from another country is caring for a client on the unit. The new nurse asks the preceptor to explain the difference between dementia and delirium so that appropriate care can be planned for the client
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a. Suggest participation in self-management b. Encourage the patient to ventilate feelings c. Help the patient to select a wig or a scarf d. Encourage the patient to talk to her family