Answer to Question 1
3
Rationale 1: The client should be monitored for hypokalemia.
Rationale 2: The client should be monitored for hypokalemia.
Rationale 3: Furosemide is a loop diuretic that can cause a decrease in serum potassium levels, so the client should be monitored for hypokalemia.
Rationale 4: The client should be monitored for hypokalemia.
Global Rationale: Furosemide is a loop diuretic that can cause a decrease in serum potassium levels, so the client should be monitored for hypokalemia. Loop diuretics do not cause hyperkalemia, hypercalcemia, or hypocalcemia.
Answer to Question 2
3
Rationale 1: Mannitol (Osmitrol) is an osmotic diuretic and does not increase RBC production.
Rationale 2: Chlorthalidone (Hygroton) is a thiazide-like diuretic and does not increase RBC production.
Rationale 3: Many patients with chronic renal failure will also have a deficiency of erythropoietin, a hormone secreted by the kidney. Erythropoietin serves as a primary signal to increase red blood cell production in the bone marrow. A synthetic form of erythropoietin, epoetin alfa (Epogen, Procrit), is effective in treating several disorders caused by a deficiency in red blood cells.
Rationale 4: Methazolamide (Neptazane) is a carbonic anhydrase inhibitor and does not increase RBC production.
Global Rationale: Many patients with chronic renal failure will also have a deficiency of erythropoietin, a hormone secreted by the kidney. Erythropoietin serves as a primary signal to increase red blood cell production in the bone marrow. A synthetic form of erythropoietin, epoetin alfa (Epogen, Procrit), is effective in treating several disorders caused by a deficiency in red blood cells. The other medications listed are not sure to increase red blood cell production.
Client position when assessing jugular vein distention.
Entry level nurse competencies
Example of simplified note for one-time client.
Neck stretch. Rest the receiver’s head on the palm of your right hand, taking a firm hold on the ...
Measuring the client’s height with a platform scale
A patient is talking to the nurse about her husband’s abuse and attempt to strangle her. She ...