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- A patient has been encouraged to increase fluid intake.Which measure would be most effective for the nurse toimplement?a. Explaining the mechanisms involved in transporting fluidsto and from intracellular compartmentsb. Keeping fluids readily available for the patientc. Emphasizing the long-term outcome of increasing fluidswhen the patient returns homed. Planning to offer most daily fluids in the eveningA client with heart failure (HF) is taking a diuretic to manage fluid retention. In evaluating the effectiveness of the medical regimen, which assessment is most important for the practical nurse (PN) to monitor? A Daily weight. B Blood pressure readings. C Color and clarity of urine. D Serum electrolytes.Which nursing diagnosis is possible for a patient who is now recovering after having been under general anesthesia for 3 to 4 hours during surgery?a )Impaired urinary elimination related to the use of vasopressors as anestheticsb )Increased cardiac output related to the effects of general anesthesiac )Risk for falls related to decreased sensorium for 2 to 4 days postoperativelyd) Impaired gas exchange due to the CNS depressant effect of general anesthesia
- A patient has been receiving an aminophylline (xanthine derivative) infusion for 24 hours. The nurse will assess for which adverse effect when assessing the patient during the infusion?a) CNS depressionb) Sinus tachycardiac) Increased appetited) Temporary urinary retentionThe nurse administering a cholinergic-blocking drug to a patient who is experiencing drug-induced extrapyramidal effects would assess for which therapeutic effect?a) Decreased muscle rigidity and tremorsb) Increased heart ratec) Decreased bronchial secretionsd) Decreased GI motility and peristalsisDistinguish among the different classes of diuretics with regard to mechanisms of action, indications, dosages, routes of administration, adverse effects, toxicity, cautions, contraindications, and drug interactions
- An older resident who is disoriented likes to wander thehalls of his long-term care facility. Which action would bemost appropriate for the nurse to use as an alternative torestraints?a. Sitting him in a geriatric chair near the nurses’ stationb. Using the sheets to secure him snugly in his bedc. Keeping the bed in the high positiond. Identifying his door with his picture and a balloonIn addition to a cardiac glycoside and a diuretic, the provider prescribes an ACE inhibitor to treat the client's heart failure. The nurse should reinforce to the client that OTC medications can reduce the effectiveness of the ACEinhibitor. What otherinteractions with the ACEinhibitor should the nurse teach the client about?A client with renal lithiasis is receiving morphine sulfate every four hours for pain and renal colic. Which assessment finding should prompt the nurse to administer a PRN dose of naloxone? A. Unresponsive to verbal or tactile stimuli. B. Respiratory rate of 12 breath/minute. C. Statements about visual hallucinations. D. Complaints of increasing flank pain.
- Please Briefly discuss the drug development of diuretic drugs? Discuss at your own words??.What signs and symptoms should the client to be monitored that indicate the presence of sodium deficit How will the nurse know if a client sodium level is normalA 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 dehydrated