Answer to Question 1
B
Furosemide can promote fluid loss even when the GFR is low, whereas the thiazide diuretics are not effective with renal dysfunction. Loop diuretics, such as hydrochlorothiazide, are also pre-ferred to thiazides when cardiac output is greatly reduced. This patient is displaying serious fluid overload and needs effective diuresis.
The nurse should not continue the hydrochlorothiazide, because it will not be effective with this patient, who has a low GFR.
Spironolactone (Aldactone) will not be as effective as a loop diuretic, and nothing indicates that the patient has a low potassium level.
Hydrating the patient would only worsen the fluid overload.
Answer to Question 2
c
Taking a Patient’s Temperature with a Tympanic Thermometer
Pulmonary edema.
The liver in this photograph was from a deceased patient with an advanced state of cirrhosis.
Position of patient following seizure
Helping maintain accurate patient records is a critical part of the medical assistant's work.
A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest.