d Ask about extremity numbness or tingling Spirolactolone is potassium sparing

D ask about extremity numbness or tingling

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d . Ask about extremity numbness or tingling. Spirolactolone is potassium sparing. Lasix is a potassium waster - spironolactone is a potassium-sparing diuretic Spironolactone (Aldactone), an aldosterone antagonist, is prescribed for a patient. Which statement by the patient indicates that the teaching about this medication has been effective? a. “I will try to drink at least 8 glasses of water every day.” b . “I will use a salt substitute to decrease my sodium intake.” c. “I will increase my intake of potassium-containing foods.” d . “I will drink apple juice instead of orange juice for breakfast.” Pt on diuretic. “The pill is working but I am weak.” what labs will you run? A patient who is taking a potassium-wasting diuretic for treatment of hypertension complains of generalized weakness. Which action is appropriate for the nurse to take? a. Assess for facial muscle spasms. b . Ask the patient about loose stools. c. Recommend the patient avoid drinking orange juice with meals. d . Suggest that the health care provider order a basic metabolic panel. Why do we put central lines in? What can’t be put in IV’s? A patient has a parenteral nutrition infusion of 25% dextrose. A student nurse asks the nurse why a peripherally inserted central catheter was inserted. Which response by the nurse is accurate?
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a. “The prescribed infusion can be given more rapidly when the patient has a central line.” b . “The hypertonic solution will be more rapidly diluted when given through a central line.” c. “There is a decreased risk for infection when 25% dextrose is infused through a central line.” d . “The required blood glucose monitoring is based on samples obtained from a central line.” How to give drugs through central line? Push over 3-5 minutes depending on drug The nurse is caring for a patient who has a central venous access device (CVAD). Which action by the nurse is appropriate? a. Avoid using friction when cleaning around the CVAD insertion site. b. Use the push-pause method to flush the CVAD after giving medications. c. Obtain an order from the health care provider to change CVAD dressing. d. Position the patient’s face toward the CVAD during injection cap changes. Forgot heart med, dyspnic/edema. What to assess first? A patient with chronic heart failure who is taking a diuretic and an angiotensin-converting enzyme (ACE) inhibitor and who is on a low-sodium diet tells the home health nurse about a 5-lb weight gain in the past 3 days. The nurse’s priority action will be to a. have the patient recall the dietary intake for the past 3 days. b. ask the patient about the use of the prescribed medications. c. assess the patient for clinical manifestations of acute heart failure. d. teach the patient about the importance of restricting dietary sodium. A nurse is assessing a newly admitted patient with chronic heart failure who forgot to take prescribed medications and seems confused. The patient has peripheral edema and shortness of breath. Which assessment should the nurse complete first ?
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  • Spring '19
  • Grace Edobor

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