Which antihypertensive medication is contraindicated in patients who have chronic obstructive pulmonary disease (COPD) and asthma?

a. Propranolol (Inderal): beta-adrenergic re-ceptor blocker
b. Hydrochlorothiazide (HydroDIURIL): diuretic
c. Diltiazem (Cardizem): calcium antagonist
d. Captopril (Capoten): ACE inhibitor


A
Beta-blocking adrenergic agents block stimulation of catecholamine receptors and cause bron-choconstriction.

Nursing

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The nurse is sharing client assessment data with the multidisciplinary health care team. Which comment by the nurse is irrelevant and indicates a misunderstanding of the concept of a mental disorder?

1. "The client reports significant emotional distress about the current situation." 2. "The client reports a loss of interest in usual pleasurable activities and commitments." 3. "The client denies thoughts of harming self or others." 4. "The client has some very inappropriate religious ideas and spiritual beliefs."

Nursing

Which of these nursing documentation methods take an unstructured approach to documenting on the client record and often present disorganized client information?

a. charting by exception and critical pathways b. computerized documentation and point-of-care charting c. narrative and source-oriented charting d. SOAP (-IE, -IER) and PIE charting

Nursing

Preoccupation with constipation may be a symptom of depression.

Answer the following statement true (T) or false (F)

Nursing

The physician orders the following for T.W.: Intravenous (IV) methylprednisolone (Solu

Medrol), bolus of 30 mg/kg over 15 minutes, followed by a maintenance infusion of 5.4 mg/kg body weight per hour. T.W. weighs 176 pounds. How many milligrams of methylprednisolone (Solu-Medrol) will T.W. receive with the bolus? How many milligrams per hour will T.W. receive with the maintenance infusion? What effect will this medication have on T.W.?

Nursing