Under which condition should the nurse hold the patient's digitalis medication?
a. The patient has headaches.
b. The patient's stool contains blood.
c. The patient's apical rate is less than 60.
d. The patient's apical rate is greater than 100.
ANS: C
If the apical rate is below 60, the medication should not be given and the physician or other health care provider should be notified, unless there is a written order giving different directions.
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A hospital client with a diagnosis of chronic renal failure has orders for measurement of her serum electrolyte levels three times per week
Which of the following statements best captures the relationship between renal failure and sodium regulation? A) Clients with advanced renal failure are prone to hyponatremia because of impaired tubular reabsorption. B) Renal clients often require a sodium-restricted diet to minimize the excretion load on remaining nephrons. C) Clients with renal failure often maintain high sodium levels because of decreased excretion. D) Restricting sodium intake helps to preserve nephron function and has the additional benefit of lowering blood pressure.
A child has been diagnosed with atopic dermatitis. How should the nurse describe the disorder to the parents? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. This disorder is also called eczema. 2. There may be others in the family with this disorder. 3. A course of antibiotics will cure this disorder. 4. Children often outgrow this disorder. 5. Something in the child's environment may be causing this skin reaction.
A client in an inpatient psychiatric unit becomes enraged and reports to a nurse that another client has taken one of the client's personal items. What is the most appropriate response by the nurse?
A) "I'll figure out who did this and I'll talk to them." B) "You shouldn't make such a big deal out of little things." C) "You should mention this in group therapy." D) "I can see that you are angry. Let's work out a good way to handle this."
When assisting a patient who has a newer model pacemaker, you should teach the patient to
A) avoid rooms where microwave ovens are in use. B) keep laptop computers at least two feet away from the pacemaker. C) hold a cell phone on the side opposite that of the pacemaker. D) refrain from using all portable digital devices that require headphones.