Select the preferred drug class for the treatment of variant or Prinzmetal angina.
A. Alpha blockers
B. Beta-adrenergic blockers
C. Angiotensin-converting enzyme inhibitors
D. Calcium channel blockers
Answer: D
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Which of the following exemplifies the predominant conflict management style of nurse managers?
a. Elizabeth, the head nurse on neurology, finds that Tom, the RN nurse on nights, is irritable in relation to any suggestions or new ideas, and so she comes in to work after Tom leaves the unit. b. The technology committee has recom-mended a clinical system for implementa-tion on the nursing unit. Staff is anxious about the change. Tim, the head nurse, asks staff for ideas on how to meet the technology goals and to meet staff needs. c. During management meetings, George, the head nurse on nephrology, dominates meetings and decisions. Lee, the head nurse on the cardiac step-down unit, be-gins to miss the management meetings. d. Ann, RN, asks her head nurse if she can go on the permanent evening shift. The head nurse, Rajib, agrees, as long as Ann agrees to be involved in assisting to men-tor evening staff in the use of the new clinical information system.
The 75-year-old patient asks the nurse if the Pneumovax immunization he took when he was 65 is still protecting him. The nurse's most helpful reply is:
a. "Yes. Pneumovax protects you for your lifetime." b. "No. The immunity afforded you by Pneumovax lasts only 2 years." c. "Yes, but it loses strength and may not protect you from all 23 pneumococcal or-ganisms anymore." d. "No. A second dose is needed 6 years af-ter the first for full immunity."
The nurse is caring for a 14-year-old client with diabetes mellitus. The client does not want to self-administer insulin because it is too painful. Which should the nurse use in response to the client?
1. Adolescents are usually enthusiastic about self-care. 2. Insulin mixed with a local anesthetic decreases pain. 3. The provider orders oral insulin for clients with pain. 4. Injections with small needles cause some clients pain.
The advance medical directive and the living will are confused by patients and staff. Which of the following explains the difference?
a. A living will designates the person to make their health care decisions if the pa-tient is no longer able to. b. An advance directive designates do not resuscitate directives. c. The advance directive details the wishes of the patient while he is still competent. d. The living will is signed by two nonrelated people and can never be altered.