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Question 1

The RN is reviewing blood pressure readings for a group of pt’s. Which patient is
the highest risk for complications related to hypertension?

Answer 1

Middle- aged African American male who has a serum creatinine level of 2.9
Rationale: normal serum creatinine
men: .74-1.35
women: .59-1.1

Question 2

What should be taught with a patient taking medications for hypothyroidism?

Answer 2

• Take in am
  -No antacids
• On empty stomach absorbs better
• 30 min before or 2 hours after food helps absorption.
• meds should be at therapeutic level to avoid depression

Question 3

Hypothyroidism- sleep/depression

Answer 3

• Depression can result from untreated hypo
• falling/staying asleep difficult = avoid sedation
• frequent rest but stay action

Question 4

What are the S/S of diverticulosis

Answer 4

• LLQ pain
• bowel pattern changes
• bloating
• fever
  -N/V
• Constipation

Question 5

What is the typical medication for gout

Answer 5

Allopurinol

Question 6

What Interventions are used for a patient taking allopurinol for gout?

Answer 6

• Increase fluid intake to prevent kidney stones
• increase movement
• avoid caffeine, alcohol, and dairy
• may take several weeks to work
• stop if rash develops.
• NO HIGH PURINE FOODS (organ meats, shellfish, fructose)
• avoid starting/ increasing med during active flare ups
• bone marrow depression