Which of these patients would the nurse expect to be the best candidate for misoprostol (Cytotec)?

A) A 12-year-old with obsessive-compulsive disorder
B) A 22-year-old pregnant patient
C) A 46-year-old trial lawyer with hypertension
D) An 83-year-old man with rheumatoid arthritis


D
Feedback:
The 83-year-old man with rheumatoid arthritis is most likely to be taking nonsteroidal anti-inflammatory drugs (NSAIDs). Misoprostol is indicated for prevention of NSAID induced ulcers in adults at high risk for development of gastric ulcers. The other three patients would not be candidates for this drug.

Nursing

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A patient in the ICU has cardiac failure and resultant low renal perfusion, which triggers the renin-angiotensin mechanism. Which of the following should the nurse expect to happen as a result of this mechanism?

A) Elevation of systemic blood pressure B) Decreased aldosterone secretion C) Dehydration D) Dilation of vascular smooth muscle

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Which action will have the greatest impact on the successful implementation of a planned change?

1. Disciplining individuals who continue to be resisters to the change 2. Ensuring there are no remaining pockets of disagreement when the change occurs 3. Continually rewarding those working toward the change and ignoring those who are not 4. Creating a supportive environment for those undergoing the change

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The physician has ordered 1500 mL of NS to infuse at 75 mL/hour with a drop factor of 15 gtt/mL. How many hours will this IV run?

What will be an ideal response?

Nursing

A woman in her late 50s presents to the walk-in clinic requesting hormone replacement therapy (HRT). The nurse is reviewing the history of this patient. Based upon which of the following conditions is (HRT) contraindicated?

A) History of vaginal dryness B) History of hot flashes and night sweats C) History of vascular thrombosis D) Family history of osteoporosis

Nursing