The nurse observes that the client voided four times during the night. The client is a 72-year-old man who is in the hospital for treatment of a myocardial infarction. In addition, he has a history of hypertension and congestive heart failure

Which of the following components of his medication regimen is most likely implicated in his nocturia? A) Nitroglycerine patch
B) A thiazide diuretic
C) An ACE inhibitor
D) Morphine sulfate


B
Feedback:
The effects of diuretics, even when given in the morning, can continue into the night resulting in nocturia. This effect is less likely with the other listed drugs.

Nursing

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While assessing a patient who is hospitalized and bedridden, the nurse notices that the patient has been incontinent of stool. The stool is loose and gray-tan in color. The nurse recognizes that this finding indicates which of the following?

a. Occult blood b. Inflammation c. Absent bile pigment d. Ingestion of iron preparations

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The nurse assesses her client to have mild anxiety concerning the birth process. The client states that she is not interested in Lamaze classes because she is single, and does not want to have natural childbirth

The nurse's best response would be: 1. "Lamaze classes promise painless childbirth. If you learn their methods, your pain is minimal." 2. "Lamaze classes can teach you relaxation methods, and also the benefits and risks of pain-relief methods. This assists you in making the best decision for you." 3. "You are very nervous. I think these classes would be best for you." 4. "Lamaze classes are geared toward couples. You might want to find a different class."

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When assessing a pre-term newborn, the nurse observes yellow discoloration of the newborn's skin. The nurse suspects pathologic jaundice on the basis of which of the following findings?

A) Cord blood bilirubin concentration of 2.5 mg/dL B) Clinical jaundice that persists for more than 5 days C) Serum bilirubin level above 10 mg/dL at any time D) Serum bilirubin increases of 0.1 mg/dL every 4 to 8 hours

Nursing

The nurse assesses a patient who complains of diffuse abdominal pain. There are absent bowel sounds and abdominal distension. These symptoms most closely correspond with which of the following medical diagnoses?

A) Appendicitis B) Bowel obstruction C) Cirrhosis D) Cholelithiasis

Nursing