Which of the following medications would be of most help to increase myocardial contractility in a patient with heart failure?
1. Digoxin (Lanoxin)
2. Lisinopril (Prinivil)
3. Carvedilol (Coreg)
4. Furosemide (Lasix)
Correct Answer: 1
Rationale: Cardiac glycosides increase cardiac output by increasing the force of contraction. Diuretics lower blood volume, beta blockers lower heart rate, and ACE inhibitors lower peripheral vascular resistance and blood volume.
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The nurse is providing care for the client who is to undergo a pelvic ultrasound. The nurse should instruct the client to:
1. lie on the right side. 2. empty the bladder. 3. avoid alcohol for 24 hours prior to the procedure. 4. drink extra fluids and not void prior to the procedure.
What is the greatest barrier to effective identification of somatic complains often ex-hibited by the older depressed client?
a. The client's unconscious denial that the symptoms are related to a mental disorder b. Their similarity to physical symptoms associated with chronic diseases often diagnosed among the aging populace c. The reluctance of the client to consent to the diagnostic testing required to determine the physical cause of the symptoms d. Depression by its nature is an extremely difficult mental health disorder to effectively diagnose
Which of these nursing communications would be most effective when teaching an older adult patient about aging through the disengagement theoretical framework?
a. "It's a natural result of growing older that your level of activity will decrease.". b. "It's important to maintain the same level of socialization throughout your lifetime, even though the type of activity may be changed to accommodate aging.". c. "It's important to maintain the familiarity of your environment to reflect your enduring competencies even though you're an older adult.". d. "Look to the ways in which your family of origin functions. If they are impaired it is more likely that you will be, too, as you age.".
Which classification(s) of drugs is/are more commonly prescribed for children due to their high incidence of infectious diseases?
1. Respiratory drugs 2. Systemic antibiotics 3. Dermatologic drugs 4. Cardiovascular drugs 5. Musculoskeletal system drugs