The nurse checks the medication list of a patient experiencing an acute STEMI and determines that which of the following medications is given to reduce cardiac pain, infarct size, and short-term mortality?
a. Warfarin (Coumadin)
b. Digoxin (Lanoxin)
c. Captopril (Capoten)
d. Metoprolol (Lopressor)
D
In patients experiencing an acute STEMI, beta blockers reduce cardiac pain, the size of the in-farct, and short-term mortality. Metoprolol is a commonly used beta blocker.
Warfarin is an anticoagulant. It does not reduce cardiac pain, infarct size, or short-term mortality
Digoxin is not indicated, because it would increase cardiac oxygen demand.
When used after an acute STEMI, angiotensin-converting enzyme (ACE) inhibitors reduce short-term mortality in all patients and long-term mortality in patients with reduced LV function. Captopril is an example of an ACE inhibitor.
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A client diagnosed with AD can no longer ambulate, does not recognize family members, and communicates with agitated behaviors and incoherent verbalizations. The nurse recognizes these symptoms as indicative of which stage of the illness?
1. Stage 4: Mild-to-Moderate Cognitive Decline 2. Stage 5. Moderate Cognitive Decline 3. Stage 6. Moderate-to-Severe Cognitive Decline 4. Stage 7. Severe Cognitive Decline
A nurse is caring for a patient with gallstones who has been prescribed ursodeoxycholic acid (UDCA). The patient askshow this medicine is going to help his symptoms. The nurse should be aware of what aspect of this drug's pharmacodynamics?
A) It inhibits the synthesis of bile. B) It inhibits the synthesis and secretion of cholesterol. C) It inhibits the secretion of bile. D) It inhibits the synthesis and secretion of amylase.
The nurse is caring for a postoperative medial meniscus repair of the right knee. Which action should the nurse take to assist with pain management?
a. Monitor vital signs every 15 minutes. b. Check pulses in the right foot. c. Keep the leg dependent. d. Apply ice.
When providing perineal care, you should
A) protect the patient's privacy. B) remove the top bedding to keep it dry. C) offer the bedpan or urinal upon completion of the procedure. D) change the soiled incontinent pad upon completion of the procedure.