Nokea
A client is admitted for hemodialysis. Which abnormal lab value would the nurse anticipate not being improved by hemodialysis?
- A. Low hemoglobin.
- B. Hypernatremia.
- C. High serum creatinine.
- D. Hyperkalemia.
Correct Answer: A
Rationale: Hemodialysis does not directly improve anemia caused by low hemoglobin.
You may also like to solve these questions
What should be included in Mr. Dean’s teaching plan for respiratory isolation?
- A. Using disposable tissues for his respiratory secretions
- B. Reporting any allergies to the staff
- C. Asking family and friends not to visit
- D. Getting the patient out of bed frequently
Correct Answer: A
Rationale: Disposable tissues prevent the spread of pathogens.
You are taking histories from several clients who report vertigo. Which client report concerns you the most?
- A. Vertigo with hearing loss
- B. Episodic vertigo
- C. Vertigo without hearing loss
- D. Merry-go-round' vertigo
Correct Answer: A
Rationale: Vertigo accompanied by hearing loss may indicate Meniere's disease or other serious inner ear disorders requiring prompt evaluation.
Which type of shock has the highest mortality rate?
- A. Neurogenic shock
- B. Anaphylactic shock
- C. Hypovolemic shock
- D. Septic shock
Correct Answer: D
Rationale: Septic shock has a high mortality rate due to systemic inflammation and multiorgan dysfunction.
The healthcare provider is caring for a client who has heart failure and a history of asthma. The provider reviews the orders and recognizes that clarification is needed for which of the following medications?
- A. Carvedilol
- B. Fluticasone
- C. Captopril
- D. Isosorbide dinitrate
Correct Answer: B
Rationale: The correct answer is B: Fluticasone. Fluticasone is an inhaled corticosteroid used to treat asthma, which can worsen heart failure symptoms. The healthcare provider needs to clarify this medication due to the client's history of asthma and heart failure. Carvedilol (A) is a beta-blocker used to treat heart failure. Captopril (C) is an ACE inhibitor also used in heart failure. Isosorbide dinitrate (D) is a vasodilator used for heart failure and angina, not contraindicated in asthma.
When teaching a 69-year-old patient about self-care, what will promote health (select all that apply)?
- A. Proper diet
- B. Immunizations
- C. Teaching chair yoga
- D. Demonstrating balancing techniques
Correct Answer: D
Rationale: Healthy eating, vaccinations, physical activity (including chair yoga), and balance training enhance overall well-being and independence in older adults.