Severe chest pain is reported by a client during an acute myocardial infarction. Which of the following is the most appropriate drug for the nurse to administer?
A) Isosorbide mononitrate (Isordil)
B) Meperidine hydrochloride (Demerol)
C) Morphine sulfate (Morphine)
D) Nitroglycerin transdermal patch
C
Feedback:
Morphine not only decreases pain perception and anxiety but also helps to decrease heart rate, blood pressure, and demand for oxygen. Nitrates are administered for vasodilation and pain control in clients with angina–type pain, but oral forms (such as Isordil) have a large first-pass effect, and transdermal patch is used for long-term management. Demerol is a synthetic opioid usually reserved for treatment of postoperative or migraine pain.
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PM care is given:
a. At bedtime b. After the evening meal c. At hour seven d. In a hot shower
A nursing educator in a large, tertiary care hospital is teaching a group of nursing students about assessment techniques for differentiating between dementia and delirium. Which of the following statements about delirium is most accurate?
A) A patient's risk of developing delirium is directly related to his or her coping ability. B) Delirium must be differentiated from dementia because the two disorders do not coexist. C) Inpatient treatment is often the trigger that initiates an individual's dementia. D) A majority of elderly patients experience some form of delirium during inpatient treatment.
The nurse notes that one of the members in a group therapy session is asking the other members for help with problems, but then appears to reject all the solutions that the members suggest. What is the best way the nurse will describe this patient?
1. Help-seeking protestor 2. Help-rejecting protestor 3. Help-rejecting complainer 4. Help-seeking manipulator
The nurse caring for a pregnant client should be aware that the U.S. birth rate shows which trend?
a. Births to unmarried women are more likely to have less favorable outcomes. b. Birth rates for women 40 to 44 years old are beginning to decline. c. Cigarette smoking among pregnant women continues to increase. d. The rates of maternal death owing to racial disparity are elevated in the United States.