A patient with a peptic ulcer has been diagnosed with H. pyl…

A patient with a peptic ulcer has been diagnosed with H. pylori. The provider has ordered lansoprazole (Prevacid), clarithromycin (Biaxin), and metronidazole (Flagyl). The patient asks the nurse why two antibiotics are needed. The nurse will explain that two antibiotics  

A 70 year-old-male client presents to the clinic for a routi…

A 70 year-old-male client presents to the clinic for a routine appointment. The patient has a history of hypertension.   He reports “tiring easily when walking.”  He has been staying home doing a lot of reading.  He reports, “difficulty sleeping, and reports becoming short of breath in the middle of the night.” He reports gaining 5 pounds in a couple of days.  He reports his appetite is “normal.”  He denies chest pain and is anxious about his condition.  KNDA Medications patient takes at home: Enalapril 20 mg by mouth twice a day Hydrochlorothiazide 25 mg by mouth twice a day Assessment: He is alert and oriented x4, HR regular 102 bpm, and +3 pitting pedal edema, respiratory rate unlabored, Crackles to the bases, Abdomen soft round non-tender positive bowel sounds x4, skin warm, dry, and intact.  Patient with frequent clear yellow urination and denies pain.   Vital Signs: Temp 98.2 F, Pulse 102, RR 22, BP 150/98  O2 sat 91% on Room air Weight 220 pounds Which 4 findings are most concerning? Select all that apply

On day 14, the client returns to the clinic and his HCP sent…

On day 14, the client returns to the clinic and his HCP sent him to the hospital due to a dry cough, difficulty “catching his breath,”  States he is sleeping in a recliner because of his SOB when laying down in bed. Reports lack of appetite, thirst, and getting up twice per night to urinate. Assessment: Cardiac- Regular, tachycardia, 4+ pitting pedal edema bilateral Resp- Lungs crackles bilaterally Neuro- Alert and oriented x4, anxious GI- Abd. soft non-tender positive bowel sounds x4 Skin- Warm, dry, intact GU- Frequent urination clear yellow  Vital signs:  Temp 98,6 F, Pulse 110 reg, RR 22, BP 170/100, O2 sat 94 % Room air Which of the following orders would be appropriate for the nurse to perform in response to the patient’s assessment? SELECT ALL THAT APPLY

A 70 year-old-male client presents to the clinic for a routi…

A 70 year-old-male client presents to the clinic for a routine appointment.  The patient has a history of hypertension.  He reports “tiring easily when walking.”  He has been staying home doing a lot of reading.  He reports, “difficulty sleeping, and reports becoming short of breath in the middle of the night.” He reports gaining 5 pounds in a couple of days.  He reports his appetite is “normal.”  He denies chest pain and is anxious about his condition.  KNDA Medications patient takes at home: Enalapril 20 mg by mouth twice a day Hydrochlorothiazide 25 mg by mouth twice a day Assessment: He is alert and oriented x4, HR regular 102 bpm, and +3 pitting pedal edema, respiratory rate unlabored, Crackles to the bases, Abdomen soft round non-tender positive bowel sounds x4, skin warm, dry, and intact.  Patient with frequent clear yellow urination and denies pain.   Vital Signs: Temp 98.2 F, Pulse 102, RR 22, BP 150/98  O2 sat 91% on Room air Weight 220 pounds   The 2 problems the client is most at risk for developing are:  SELET ALL THAT APPLY