During a teaching session about
self-monitoring while taking a beta blocker at home, the nurse has taught the patient to take his apical pulse daily for 1 minute. If the pulse rate decreases to less than 60 beats/min, the nurse will instruct the patient to:
a. notify his prescriber.
b. reduce the dose of his beta blocker by half.
c. continue the medication because this is an expected effect.
d. skip the medication dose that day, and check his pulse again the next day.
ANS: A
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When the nurse is asked whether research utilization is a part of the general nursing practice at the hospital, the nurse replies, "We don't do much of that.". What is the most prevalent reason for this attitude?
1. Poor availability and accessibility of research reports. 2. Lack of advanced education of nurses practicing at the bedside. 3. Lack of awareness of research. 4. Limited findings of nursing research applicable to practice.
A psychiatric nurse wants to comply with the recommendation of the Institute of Medicine (IOM) Future of Nursing report that nurses take part in expanded opportunities to lead and share in collaborative improvement efforts
What activity would accomplish this? 1. Taking a course on nursing diagnoses 2. Becoming a nurse-mentor 3. Leading an interdisciplinary team focused on improving patient outcomes 4. Volunteering for extra shifts
At last measurement, the client's vital signs were as follows: oral temperature 98°F (36.7°C), heart rate 76, respiratory rate 16, and blood pressure (BP) 118/60. Four hours later, the vital signs are as follows:
oral temperature 103.2°F (38.5°C), heart rate 76 beats/minute, respiratory rate 14 breaths/minute, and blood pressure 120/66. Which should the nurse's first intervention be at this time? 1) Ask the client if he has had a warm drink in the last 30 minutes. 2) Notify the primary care provider of the client's temperature. 3) Ask the client if he is feeling chilled. 4) Take the temperature by a different route.
Which interventions are required following an amniotomy procedure? (Select all that apply.)
a. Notation related to amount of fluid expelled b. Color and consistency of fluid c. Fetal heart rate d. Maternal blood pressure e. Maternal heart rate