A nurse is assessing an apical pulse on a cardiac client. The client is taking digoxin. The nurse can anticipate that the digoxin will:
A) decrease the blood glucose.
B) decrease the blood volume.
C) decrease the apical pulse.
D) decrease the respiratory rate.
Ans: C
Feedback:
Certain cardiac medications, such as digoxin, decrease the heart rate.
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Your new patient is admitted to your nursing home with a diagnosis of vascular dementia. You know that this type of dementia differs from Alzheimer's dementia is what way?
A. The progression of symptoms is predictable based on the person's heart disease. B. The progression of symptoms is more variable than Alzheimer's disease. C. Vascular dementia can be treated successfully with surgery compared to Alzheimer's disease where there is no surgical treatment. D. Vascular dementia is temporary and Alzheimer's dementia is permanent.
The correctional mental health nurse assesses a new prisoner who is beginning his incarceration for
committing a sex crime. The prisoner speaks in a low voice, is tearful, and tells the nurse that his life may as well be over as there is no hope that he will ever be able to fit into society after he is released from prison. He states his family has disowned him and that wherever he goes his reputation will follow him. The priority intervention would be to a. arrange to meet with him weekly to discuss feelings. b. offer to contact his family to speak of his remorse. c. advise the guards to place him in solitary confinement. d. arrange to implement suicide precautions.
A patient with myasthenia gravis who is taking a cholinesterase inhibitor is being admitted to the intensive care unit and is on mechanical ventilation
The prescriber has ordered a challenge dose of edrophonium to distinguish between a myasthenic crisis and a medication overdose. The nurse will expect to do what? a. Administer neostigmine if muscle strength decreases. b. Be prepared to administer atropine and oxygen if muscle weakness increases. c. Give a second dose of edrophonium if no improvement is seen. d. Give pralidoxime [Protopam] if choliner-gic symptoms worsen.
The nurse has auscultated the patient's heart sounds and has measured vital signs. Which finding would the nurse evaluate as indicating greatest need for additional assessment?
1. Pulse pressure of 38 mm Hg 2. Bounding, vigorous pulse 3. Split of S2 4. Apical pulse of 66