The nurse is caring for a pregnant patient who is in labor. The woman reports having had mild preeclampsia with a previous pregnancy. The nurse notes that the woman has a blood pressure of 168/102 mm Hg
The nurse will contact the provider to request an order for which drug? a. Angiotensin-converting enzyme (ACE) inhibitor
b. Hydralazine (Apresoline)
c. Magnesium sulfate
d. Sodium nitroprusside
B
The drug of choice for lowering blood pressure in a patient with severe preeclampsia is hydrala-zine. Sodium nitroprusside is not indicated. Magnesium sulfate is given as prophylaxis against seizures but does not treat hypertension. ACE inhibitors are contraindicated because of their po-tential for fetal harm.
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The nurse is examining the client's mouth, and discovers leukoplakia. In response to questioning from the nurse, the client reveals it has been there for more than a month. The nurse documents the condition and informs the doctor, anticipating:
1. An order to provide thorough mouth care. 2. A biopsy will be performed. 3. An antifungal medication order. 4. A dental consult.
While assessing the client, the nurse notes that the client has a productive cough. Based on this observation, which question is appropriate for the nurse to include in the focused interview?
1. "Have you been losing weight?" 2. "How long have you been sick?" 3. "Are you wheezing?" 4. "Are you coughing up any mucus or phlegm?"
A patient born in a European country speaks excellent American English. The nurse realizes that this patient has achieved which type of assimilation?
A. Cultural B. Marital C. Primary structural D. Secondary structural
A patient is scheduled for a total knee replacement. The surgeon explains the technique of creating a "bloodless" field for the surgery to the patient. What does this entail?
A) Intermittent autotransfusion B) Postoperative blood salvage C) Intraoperative blood salvage with reinfusion D) Use of a pneumatic tourniquet