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Your 58 y/o male patient comes in with dehydration and confusion. He had not been eating well at home and was brought in by his son because of his altered mental status. When taking vital signs, you notice that he has carpal spasms when inflating the blood pressure cuff. What do you suspect is going on with the patient?

A 45 years of age male patient was admitted for uncontrolled hypertension (HTN) and coronary artery disease (CAD). His history & physical exam showed: Occupation: sale man with stressful schedules and projects. The patient has a history of HTN and CAD His home medications included: metoprolol 25 mg q12h PO, acetylsalicylic acid (ASA, aspirin) 325 mg/day PO. He has averaged 1.5 packs of cigarettes per day for 20 years; an “occasional” beer (“a 6-pack every weekend with the football game”); a dietary history of fried and fast foods; and “no time for exercises”. His current weight is 235 pounds at 5’8”. He has a waist circumference of 48 inches. His vital signs: are 178/88, 82, 18, and 98.4° F. Father died of sudden cardiac death at the age of 42 Mother (still living) had a quadruple coronary artery bypass graft (CABG x4) at the age of 52 Matching the patient’s modifiable and nonmodifiable risk factors for CAD

It is the first time a patient receives lisinopril (Zestril). What does the nurse educate the patient about?

Match the correct medication with the instructions of drug administration:

A patient’s home medications include sacubitril/valsartan (Entresto). What medical history does the nurse anticipate the patient may have?

A patient is recovering from a subtotal thyroidectomy. The nurse identifies with symptoms indicating damage to the parathyroid gland. (Source: Kp)

The nurse has five patients. Which patient will the nurse assess first?

A patient has been receiving furosemide (Lasix) 40mg PO daily. The patient’s lab values today show: Na = 139 mEq/L, K = 5.1 mEq/L, Cl = 106 mEq/L, BUN = 28mg/dL, and Creatinine = 1.4mg/dL.  Which lab trending should the nurse check first?  

What is the priority nursing intervention for a patient with dehydration?

A patient who is newly diagnosed with diabetes received 6 units of lispro at lunchtime. An hour later, he complains of shakiness. What is the nurse’s priority action?