A patient is prescribed a beta-blocker. The nurse realizes that which of the following will occur in this patient?
1. increased blood pressure
2. decreased preload
3. increased contractility
4. decreased heart rate
4
Rationale: Heart rate may be slowed by administration of drugs that block sympathetic activity such as beta-blockers. Medications that block sympathetic activity will decrease the blood pressure. Decreased preload is seen in hemorrhage, dehydration, diuretic use, atrioventricular valve malfunction, vasodilation of the venous system, and a rapid heart rate. Parasympathetic nerve stimulation will cause decreased contractility and not increased contractility.
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The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the __________ diagnosis
a. Nursing b. Medical c. Admission d. Collaborative
A patient is admitted to the CCU after experiencing blunt trauma to the chest. Among other injuries, the patient has a flail chest on the left and several extremity fractures
About 12 hours after admission, the patient is tachypneic and complaining of shortness of breath. Breath sounds are present bilaterally with scattered fine crackles. Chest radiograph shows an ill-defined, patchy, ground-glass area of density on the left. If the patient has a pulmonary contusion, what is the nursing priority? A) Monitor pulse oximetry and arterial blood gases closely. B) Place an oral endotracheal tube immediately. C) Increase the amounts of intravenous crystalloid administration. D) Obtain sputum culture and sensitivity and Gram stain.
A nurse works in an emergency department and frequently uses Lazarus's theory of coping
When a family is distraught by a family member's apparent heart attack, what action by the nurse is best from this theory's standpoint? (Select all that apply.) a. Assess the family for coping strategies used during previous crises. b. Begin assessing the family for discharge teaching and support needs. c. Help the family understand treatments available to manage the condition. d. Inform the family of the location of the cafeteria and waiting rooms. e. Provide the family with food and beverages as a universal sign of caring.
An older adult client tells the nurse that he still has erections and wants to have sex with his wife, but she does not have the same interest as he does. What should the nurse do to assist this client?
A) Explain that women lose interest in sex as part of the aging process. B) Suggest that he wait awhile and the urge to have sex will pass. C) Ask what he has been doing to fulfill himself sexually. D) Encourage the client to ask his wife to discuss the lack of interest with her healthcare provider.