Author Question: A patient who has just been told that he or she needs to go on dialysis asks the nurse what the ... (Read 38 times)

jayhills49 · **on:** Jul 23, 2018

A patient who has just been told that he or she needs to go on dialysis asks the nurse what the normal output of urine is per day. What would be the nurse's best response?

A) 2,000 mL
B) 3,000 mL
C) 4,000 mL
D) 5,000 mL

Question 2

An older adult African American patient comes to the clinic and is diagnosed with generalized anxiety disorder (GAD). The physician orders oral flurazepam 30 mg. What is the nurse's priority action?

A) Teach the patient about the prescribed medication.
B) Administer the first dose of medication.
C) Tell patient to take first dosage after driving home.
D) Talk to the physician about the dosage.

todom5090 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Approximately 125 mL of fluid is filtered out of the glomerulus each minute. About 99 is returned to the blood stream as the filtrate progresses through the renal tubule. Approximately 1 or 2,000 mL of fluid is excreted each day in the form of urine. The other options are not correct.

Answer to Question 2

D
Feedback:
If an anxiolytic or hypnotic agent is the drug of choice for an African American patient, the smallest possible dose should be used, and the patient should be monitored very closely during the first week of treatment. Dosage adjustments are necessary to achieve the most effective dose with the fewest adverse effects. In addition, older adults also require careful titration of dosage. Older patients may be more susceptible to the adverse effects of these drugs, from unanticipated central nervous system (CNS) adverse effects including increased sedation, dizziness, and even hallucinations. Dosages of all of these drugs should be reduced and the patient should be monitored very closely for toxic effects and to provide safety measures if CNS effects do occur. As a result, the priority action is to talk to the physician about the dosage. The other actions may be appropriate after a proper dosage is ordered.