Author Question: The nurse observes that the client voided four times during the night. The client is a 72-year-old ... (Read 40 times)

BrownTown3 · **on:** Jul 11, 2018

The nurse observes that the client voided four times during the night. The client is a 72-year-old man who is in the hospital for treatment of a myocardial infarction. In addition, he has a history of hypertension and congestive heart failure.

Which of the following components of his medication regimen is most likely implicated in his nocturia? A) Nitroglycerine patch
B) A thiazide diuretic
C) An ACE inhibitor
D) Morphine sulfate

Question 2

The emergency room staff is caring for a patient with an acute inflammatory intestinal disorder who is being observed to rule out appendicitis. Which intervention is contraindicated?

a. Give nothing by mouth until seen by a health care provider
b. Measure intake and output
c. Apply heat to the abdomen
d. Encourage bed rest

Juro · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B
Feedback:
The effects of diuretics, even when given in the morning, can continue into the night resulting in nocturia. This effect is less likely with the other listed drugs.

Answer to Question 2

C
No heat is applied because this may increase circulation to the appendix and lead to rupture.