Which medication would be of most help to increase myocardial contractility in a patient with heart failure?

1. Digoxin (Lanoxin)
2. Lisinopril (Prinivil)
3. Carvedilol (Coreg)
4. Furosemide (Lasix)


1
Rationale 1: Cardiac glycosides increase cardiac output by increasing the force of contraction.
Rationale 2: ACE inhibitors lower peripheral vascular resistance and blood volume.
Rationale 3: Beta blockers lower heart rate.
Rationale 4: Diuretics lower blood volume.
Global Rationale: Cardiac glycosides increase cardiac output by increasing the force of contraction. ACE inhibitors lower peripheral vascular resistance and blood volume. Beta blockers lower heart rate. Diuretics lower blood volume.

Nursing

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The nurse assesses an unmet need in a hospitalized child who clings to his mother as she is about to leave. As described by Maslow, the basic needs that may be unmet in this case are __________ and ___________

ANS:

Nursing

A patient with otosclerosis has significant hearing loss. What should the nurse do to best facilitate communication with the patient?

A) Sit or stand in front of the patient when speaking. B) Use exaggerated lip and mouth movements when talking. C) Stand in front of a light or window when speaking. D) Say the patient's name loudly before starting to talk.

Nursing

A corticosteroid that is an ingredient in a topical drug would be useful for which of the following effects?

a. Antimicrobial b. Antiinflammatory c. Moisturizing d. Drying

Nursing

Apart from a routine laparoscopic appendicectomy set-up, would you have any other equipment on standby?

Amy Pinehurst is a 30-year-old woman scheduled to come to your theatre for an emergency laparoscopic appendicectomy. She has had previous surgeries where it was noted she had abdominal adhesions. Her admission form says she weighs 50 kg. What will be an ideal response?

Nursing