Which of the following conditions, if present in a patient, would cause the health care provider to question an order for a dopaminergic drug such as levodopa?
a. Pneumonia
b. Hypotension
c. Narrow-angle glaucoma
d. Peripheral vascular disease
ANS: C
The use of dopaminergic drugs, such as levodopa, is contraindicated in patients with nar-row-angle glaucoma, blood dyscrasias, uncontrolled hypertension, who are concurrently using monoamine oxidase inhibitors (MAOIs), or who have hypersensitivity to the drug or its ingredi-ents. Levodopa should also not be used in patients with history of malignant melanoma.
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A patient's cardiac monitor reveals heart rate of 40 beats per minute with an irregular rate. The PR intervals are constant and there are P waves with no QRS to follow. The QRS complexes are wider than normal. The patient complains of severe dizziness and nausea. Which nursing interventions are indicated?
1. Administer atropine. 2. Prepare to cardiovert the patient. 3. Prepare for placement of a temporary pacemaker. 4. Administer epinephrine. 5. Ask the patient to cough forcefully.
A child has a total cholesterol level of 180 mg/dL. What dietary recommendations should the nurse make to the child and the child's parents? Select all that apply
a. Replace whole milk for 2% or 1% milk. b. Increase servings of red meat. c. Increase servings of fish. d. Avoid excessive intake of fruit juices. e. Limit servings of whole grain.
A young child with leukemia has anorexia and severe stomatitis. What approach should the nurse suggest that the parents try?
a. Relax any eating pressures. b. Firmly insist that the child eat normally. c. Serve foods that are either hot or cold. d. Provide only liquids because chewing is painful.
The nurse is documenting findings after completing data collection with a patient. What term should the nurse use to document a large area of discoloration from hemorrhage under the skin?
a. Pallor b. Rubor c. Petechiae d. Ecchymosis