The nurse is caring for a patient with hypertension who is preparing to be discharged from the hospital after suffering a myocardial infarction
What drug might the nurse administer that will both treat his hypertension and reduce myocardial oxygen consumption? A) Captopril
B) Losartan
C) Diltiazem
D) Nitroprusside
C
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Diltiazem inhibits the movement of calcium ions across the membranes of cardiac and arterial muscle cells, depressing the impulse and leading to slowed conduction, decreased myocardial contractility, and dilation of arterioles, which lowers blood pressure and decreases myocardial oxygen consumption. Captopril, losartan, and nitroprusside do not have actions to reduce myocardial oxygen consumption.
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When observing a patient's verbal and nonverbal communication, the nurse notices a discrepancy. Which statement is true regarding this situation? The nurse should:
a. Ask someone who knows the patient well to help interpret this discrepancy. b. Focus on the patient's verbal message, and try to ignore the nonverbal behaviors. c. Try to integrate the verbal and nonverbal messages and then interpret them as an average. d. Focus on the patient's nonverbal behaviors, because these are often more reflective of a patient's true feelings.
During an annual performance review, the staff nurse admits to being very stressed by the demands of the job, marriage, and four teenage children. Which comment by the nurse manager is indicated?
1. "We need to figure out what you can give up in your personal life to help decrease your stress." 2. "You need to be more flexible with the hours you work." 3. "You should not let your personal problems affect your work." 4. "Let's talk about how we can help you develop some resiliency."
The home care nurse is instructing a patient with multiple sclerosis on the procedure to follow for self-catheterization at home
The nurse instructs the patient to perform daytime intermittent self-catheterization according to which schedule? A) When she has the urge to void B) Every hour and just before bedtime C) Immediately after each meal and snack D) Every 4 to 6 hours and just before bedtime
When applying the ultrasound transducers for continuous external electronic fetal monitoring, at which location would the nurse place the transducer to record the FHR?
A) Over the uterine fundus where contractions are most intense B) Above the umbilicus toward the right side of the diaphragm C) Between the umbilicus and the symphysis pubis D) Between the xiphoid process and umbilicus