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- A patient tells the nurse she is having pain in her rightlower leg. How does the nurse assess for the presence ofthrombophlebitis?a. By palpating the skin over the tibia and fibulab. By documenting daily calf circumference measurementsc. By recording vital signs obtained four times a dayd. By noting difficulty with ambulationA client is receiving spironolactone (Aldactone) for treatment of bilateral lower extremity edema. The nurse should instruct the client to make which of the following nutritional modifications to prevent an electrolyte imbalance? 1. Increase intake of milk and milk products. 2. Restrict fluid intake to 1000 mL per day. 3. Decrease foods high in potassium. 4. Decrease foods high in sodium.Aclient is receiving spironolactone (Aldactone) for treatment of bilateral lower extremity edema. The nurse should instruct the client to make which of the following nutritional modifications to prevent an electrolyte imbalance? 1. Increase intake of milk and milk products. 2. Restrict fluid intzke to 1000 mL per day. 3. Decrease foods high in potassium. 4. Decrease foods high in sodium.
- A nurse is assessing a client with suspected gout. Which of the following would support a diagnosis of gout? Select all that apply 1. Elevated serum uric acid level 2. A swollen, red joint 3. Reports of moderate fatigue 4. Distal extremities cool totoucho5. Pain associated with movement of the affected extremity 6. Intolerance of dairy productsCase Scenario: Mrs. Martha went call you to pick up her medication. She was prescribed with the following Medications for Allergic Rhinitis from her Allergist: Levocetirizine 10 mg OD, Nafarin A 5 tabs every 6 hours as needed for nasal congestions with Body Malaise. She's been taking Betamethasone 5 mg tablet for a month now. She ask as well on her refill from Dr. Dave for her metformin 500 mg and Lisinopril 10 mg for her maintenance meds. Please assist Ms. Martha's medication management for Drug-Interactions.A nurse is caring for an obese 62-year-old patient with arthri-tis who has developed an open reddened area over his sacrum. What is a priority nursing diagnosis for this patient?a. Imbalanced Nutrition: More Than Body Requirementsrelated to immobilityb. Impaired Physical Mobility related to pain and discomfortc. Chronic Pain related to immobilityd. Risk for Infection related to altered skin integrity
- A nurse assesses the stool of patients who are experiencinggastrointestinal problems. In which patients would diarrheabe a possible finding? Select all that apply.a. A patient who is taking narcotics for painb. A patient who is taking laxativesc. A patient who is taking diureticsd. A patient who is dehydratedA client will be sent home on diuretic therapy and has a prescription for liquid potassium chloride (KCl). What teaching will the nurse provide before the client goes home? a. Do not dilute the solution with water or juice; drink the solution straight. b. Increase the use of salt substitutes; they also contain potassium. c. Report any weakness, fatigue, or lethargy immediately. d. Take the medication immediately before bed to prevent heartburn. Why letter c is the correct answer and explain why other options are incorrectAn older adult arrives at the emergency department with reports of severe nausea and vomiting large amounts of liquid brown emesis at home. The client's vital signs are a temperature of 96.4 'F, heart rate 124 beats/minute, respirations of 16 beats/minute, and blood pressure of 75/38 mmHg. Which intervention is the most important for the nurse to implement? A. Maintain strict intake and output B. Monitor blood glucose level C. Keep the head of the bed 45 degrees D. Assess warmth of extremeties
- A nurse is monitoring a patient who is diagnosed with hypokalemia. Which nursing intervention would be appropri-ate for this patient? a. Encourage foods and fluids with high sodium content.b. Administer oral K supplements as ordered.c. Caution the patient about eating foods high in potassiumcontent.d. Discuss calcium-losing aspects of nicotine and alcoholuse.Case: JM, a 51 y/o banker was brought to the ED due to passage of dark-colored stools. Symptoms started 3 weeks prior to consult when patient experienced on and off epigastric pain, temporarily relieved by intake of OTC antacids. No consult was made until a few hours PTC when patient experienced gnawing abdominal pain associated with passage of black-tarry stools. PMH: smoker 30 pack years; drinks alcohol and coffee (4 cups/ day). Discuss the following: 1. Impression and Differential Diagnosis 2. Basis for your impression 3. Laboratory examinations to be requested 4. Pathophysiology of the problem (contributing factors, complications, etc) 5. Therapeutic Objectives 6. Pharmacologic and Non-pharmacologic Management 7. Write a prescription for the case 2:08 PMCase: JM, a 51 y/o banker was brought to the ED due to passage of dark-colored stools. Symptoms started 3 weeks prior to consult when patient experienced on and off epigastric pain, temporarily relieved by intake of OTC antacids. No consult was made until a few hours PTC when patient experienced gnawing abdominal pain associated with passage of black-tarry stools. PMH: smoker 30 pack years; drinks alcohol and coffee (4 cups/ day). Discuss the following: 3. Laboratory examinations to be requested 4. Pathophysiology of the problem (contributing factors, complications, etc) 2:08 PM