1. The practical nurse (PN) is reinforcing teaching to a clientprescribed hydrochlorothiazide twice a day. Which instructionsshould be included in the reinforcement of teaching?
Carry a medical identification card in their wallet.
Avoid drinking and consuming food products containingalcohol.
Administered the second dose of the day before 6:00 pm.
Weigh daily at the same time of day, wearing the same type ofclothing each time.
Notify their healthcare provider if their heart rate is lessthan 60 beats/minute or more than 100 beats/minute.
2.
A client had a total knee arthroplasty one day ago. The clientis receiving oxycodone with ibuprofen 5mg/400mg every 4 to 6 hoursfor pain. The practical nurse (PN) recognizes which assessmentfinding requires immediate intervention?
No bowel movement for 36 hours.
Intake of 1400ml and output of 400ml.
Signs of drowsiness and euphoria.
Reports of sharp throbbing knee pain.
3. A client receiving dialysis therapy three times a week isprescribed cinacalcet (Sensipar) for secondary hyperparathyroidism.The healthcare provider has prescribed the medication to betitrated starting with 30mg/day and advancing to 180mg/day. Whichtitration schedule should the practical nurse (PN) anticipate forthe cinacalcet?
Triple the dosing every two weeks in sequential increments of30mg/day, 90mg/day, and 270mg/day.
Increase the dose every two weeks in sequential increments of30mg/day, 60mg/day, 90mg/day, 120mg/day, and 180mg/day.
Double the dosing every other month in sequential increments of30mg/day, 60mg/day, 120mg/day, until a maximum dose is reached.
Add 30mg to the dose every week in sequential increments of30mg/day, 60mg/day, 90mg/day, 120mg/day, 150mg/day, 180mg/day.
