The nurse is discharging a client from the hospital who has a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching?

"I should eat a diet low in potassium while taking this medication."

"I should limit my fluid intake while taking this medication."

"My blood pressure will increase while I am taking this medication."

"I need to limit my sun exposure and wear sunscreen while on this medication."

Answer and Explanation

The Correct Answer is D

Choice A reason: Furosemide does not require a diet low in potassium; in fact, patients may need to increase their potassium intake due to its diuretic effect.

Choice B reason: Patients on furosemide should not limit fluid intake unless specifically instructed by their healthcare provider, as the medication is a diuretic.

Choice C reason: Furosemide is used to treat high blood pressure, so it would not cause an increase in blood pressure.

Choice D reason: Limiting sun exposure and wearing sunscreen is important as furosemide can make the skin more sensitive to sunlight.

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Correct Answer is A

Explanation

Choice A reason: Black Americans have been found to have a higher prevalence of end-stage renal disease (ESRD) due to diabetes mellitus compared to other ethnic groups. This is atributed to a combination of factors including higher rates of diabetes, hypertension, and genetic predispositions that contribute to kidney damage.

Choice B reason: While Asian Americans do have a significant incidence of diabetes mellitus, they are not the group with the highest prevalence of ESRD due to diabetes. However, within the Asian American population, there are subgroups that have higher rates of ESRD, which may be in?uenced by genetic and environmental factors.

Choice C reason: Non-Hispanic Whites have a lower prevalence of ESRD due to diabetes mellitus when compared to Black Americans. However, they still constitute a significant portion of the ESRD population due to the larger size of this demographic group in the general population.

Choice D reason: Hispanic/Latinos also su?er from a high prevalence of diabetes mellitus, which can lead to ESRD. However, the rate of progression to ESRD due to diabetes is not as high as in the Black American population.

Socioeconomic factors and access to healthcare may in?uence these outcomes.

A. "I get such back pain with these urine infections. It hurts so bad." B. "When I have one of these infections, I can't go to my grandkids' school activities like I normally do." C. "I have to be close to a bathroom no mater where I am when I have this infection." D. "Sometimes I get so nauseated and start throwing up and can't even keep water down."

Correct Answer is B

Explanation

Choice A reason: Back pain is a physical symptom of UTIs, not a psychosocial effect.

Choice B reason: Missing out on normal social activities like atending grandchildren's school events indicates a psychosocial impact from frequent UTIs.

Choice C reason: Needing to be close to a bathroom is a practical concern due to the physical symptoms of UTIs, not a psychosocial effect.

Choice D reason: Nausea and vomiting are physical symptoms of UTIs and do not directly indicate a psychosocial effect.

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The nurse is discharging a client from the hospital who has a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a public clinic is researching health data on culturally diverse populations in the community. Which of the following population groups should the nurse anticipate having end-stage renal disease (ESRD) due to diabetes mellitus?

Correct Answer is A

Explanation

A nurse is caring for a client admited for pyelonephritis. The client's history includes frequent urinary tract infections (UTI). Which of the following statements by the client indicates that they are su?ering from a psychosocial effect from frequent UTIs?

Correct Answer is B

Explanation

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