A nurse assesses a client who is prescribed furosemide (Lasix) for hypertension. For which acid-base imbalance should the nurse assess to prevent complications of this therapy?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis
ANS: D
Many diuretics, especially loop diuretics, increase the excretion of hydrogen ions, leading to excess acid loss through the renal system. This situation is an acid deficit of metabolic origin.
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A patient has an order for a subcutaneous injection of insulin. The nurse will prepare to give this injection into which of the following tissues?
a. Into a large muscle b. Into the connective tissue beneath the dermis c. Into a vein using a pump d. Between the epidermis and dermis
When managing a client with severe hyperkalemia, the nurse should anticipate an order to administer:
1. furosemide (Lasix). 2. sodium bicarbonate. 3. sodium polystyrene sulfonate (Kayexalate) enema. 4. 50% sodium chloride.
Which of the following nursing interventions is an example of health promotion and preventive care on the primary level? Select all that apply
A) A nurse counsels a teenager to stop smoking. B) A nurse conducts a health fair for high blood pressure screening. C) A nurse counsels the family of a client diagnosed with lung cancer. D) A home health care nurse arranges for rehabilitation services for a patient. E) A school nurse arranges for a career seminar for graduating seniors.
The nurse identifies abnormal breath sounds during an assessment. Which sounds should the nurse document as abnormal? Select all that apply.
A. Bronchial. B. Vesicular. C. Crackles. D. Wheezes. E. Bronchovesicular.