« previous next »

Author Question: A patient who has been receiving diuretic therapy is admitted to the emergency department with a ... (Read 23 times)

mp14

  • Hero Member
  • *****
  • Posts: 534
on: Jun 25, 2018
A patient who has been receiving diuretic therapy is admitted to the emergency department with a serum potassium level of 3.0 mEq/L. The nurse should alert the health care provider immediately that the patient is on which medication?
 
  a. Oral digoxin (Lanoxin) 0.25 mg daily
  b. Ibuprofen (Motrin) 400 mg every 6 hours
  c. Metoprolol (Lopressor) 12.5 mg orally daily
  d. Lantus insulin 24 U subcutaneously every evening

Question 2

The long-term care nurse is evaluating the effectiveness of protein supplements for an older resident who has a low serum total protein level. Which assessment finding indicates that the patient's condition has improved?
 
  a. Hematocrit 28
  b. Absence of skin tenting
  c. Decreased peripheral edema
  d. Blood pressure 110/72 mm Hg


joechoochoy

  • Sr. Member
  • ****
  • Posts: 306
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
Hypokalemia increases the risk for digoxin toxicity, which can cause serious dysrhythmias. The nurse will also need to do more assessment regarding the other medications, but they are not of as much concern with the potassium level.

Answer to Question 2

ANS: C
Edema is caused by low oncotic pressure in individuals with low serum protein levels. The decrease in edema indicates an improvement in the patient's protein status. Good skin turgor is an indicator of fluid balance, not protein status. A low hematocrit could be caused by poor protein intake. Blood pressure does not provide a useful clinical tool for monitoring protein status.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Vampire bats have a natural anticoagulant in their saliva that permits continuous bleeding after they painlessly open a wound with their incisors. This capillary blood does not cause any significant blood loss to their victims.

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

Did you know?

Thyroid conditions cause a higher risk of fibromyalgia and chronic fatigue syndrome.

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Teaching an illterate patient Teaching an illterate patient
Foley catheter with balloon in the bladder of a male patient. Foley catheter with balloon in the bladder of a male patient.
The correct beginning position for the patient’s feet and crutches (tripod position). The correct beginning position for the patient’s feet and crutches (tripod position).
Grief Responses and Patient Verbalization Grief Responses and Patient Verbalization
Flow data for a healthy donor (top panel) and a HIV positive patient. CD3 is a T-cell marker, CD4 is ... Flow data for a healthy donor (top panel) and a HIV positive patient. CD3 is a T-cell marker, CD4 is ...
Lobes of the brain, with primary receiving and integrating centers of the human cerebral cortex. Lobes of the brain, with primary receiving and integrating centers of the human cerebral cortex.
Video: Endocytosis -Types and Phagocytosis

For a complete list of videos, visit our video library