A patient is being treated in the hospital for a femoral fracture and is scheduled to receive his daily dose of metoprolol (Lopressor) that he has been taking for the treatment of hypertension for several years
Prior to administering this drug, the nurse should assess and document which of the following? Select all that apply. A) Oxygen saturation level
B) Heart rate
C) Potassium level
D) Blood pressure
E) Capillary refill
B, D
Feedback:
Beta-blockers reduce heart rate and blood pressure; both parameters should be assessed prior to administration. Beta-blockers do not significantly affect potassium levels, oxygen levels, or peripheral circulation.
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A client who is being discharged from the hospital will need follow-up for wound care. The client's spouse is not capable of providing bed baths for the client
The nurse case manager who is planning care for this client should contact which agency? 1. Long-term-care facility 2. Public health department 3. Temporary service agency 4. Home health agency
A client requests that surgery be delayed for several days until after a period of Holy Days have concluded. Which of the following should the nurse do to support this client?
1. Remind the client that one's health is more important than following Holy Days. 2. Suggest the client think about whether having the surgery is the right decision, since the client is willing to delay it now. 3. Communicate the client's request to the surgeon. 4. Provide the client with alternative forms of treatment to replace having surgery.
The nurse is caring for a patient who has suffered a stroke and is unable to speak. This condition is documented by the nurse as
a. poor affect c. aphasia b. adequate judgment d. prosody
The original goal of deinstitutionalization was to
a. Reduce state costs of caring for the chronically mentally ill. b. Replace state psychiatric hospitals with community-based treatment programs. c. Modernize psychiatric hospitals. d. Allow mentally ill persons to live on their own to test their life skills.