A patient is admitted with left-sided heart failure and a blood pressure of 220/118 mm Hg. Which of the following drugs will be most effective in decreasing the blood pressure and reducing afterload?
a. Dopamine (Intropin) c. Propranolol (Inderal)
b. Verapamil (Calan) d. Sodium nitroprusside (Nipride)
D
Sodium nitroprusside (Nipride) is a potent, rapidly acting venous and arterial vasodilator, particularly suitable for rapid reduction of blood pressure in hypertensive emergencies and perioperatively. It also is effective for afterload reduction in the setting of severe heart failure. The drug is administered by continuous intravenous infusion, with the dosage titrated to maintain the desired blood pressure and systemic vascular resistance.
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A nurse assesses a client who has a 15-year history of diabetes and notes decreased tactile sensation in both feet. Which action should the nurse take first?
a. Document the finding in the client's chart. b. Assess tactile sensation in the client's hands. c. Examine the client's feet for signs of injury. d. Notify the health care provider.
Which is the name of the suture separating the parietal bones at the top of a newborn's head?
a. Frontal b. Sagittal c. Coronal d. Occipital
The clinic nurse is teaching a pregnant patient about her iron supplement. Information in the teaching plan includes: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Iron does not affect the gastrointestinal tract. 2. A stool softener might be needed. 3. Start a low dose, and increase it gradually. 4. Expect the stools to be black and bloody. 5. Iron absorption is poor if taken with meals.
A patient will be receiving busulfan (Myleran) as treatment for leukemia. Which intervention should the nurse include in the plan of care for this patient?
A. Check stool for occult blood. B. Assess for infection. C. Assess oral mucous membranes. D. Administer anti-emetic prior to chemotherapy.