The physician has ordered nitroglycerin for a patient with anterior myocardial infarction. The nurse is obtaining vital signs before administering the medication. The apical pulse is 52 beats/min, and blood pressure is 80/60 mm Hg
What action should the nurse take?
a. Administer the drug as ordered.
b. Report the vital signs to the RN.
c. Give medication at half the prescribed dose.
d. Recheck vital signs in 30 minutes.
ANS: B
The vital signs are low and should be reported to the RN prior to giving medication, as the physician should be notified and will likely give orders to hold the medication.
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A clinic nurse is caring for a patient newly diagnosed with fibromyalgia. When developing a care plan for this patient, what would be a priority nursing diagnosis for this patient?
A) Impaired Urinary Elimination Related to Neuropathy B) Altered Nutrition Related to Impaired Absorption C) Disturbed Sleep Pattern Related to CNS Stimulation D) Fatigue Related to Pain
A patient diagnosed with AD is being treated with a ChE inhibitor drug. The patient develops facial flushing, sweating, and leg cramps. The nurse should attribute these symptoms to
a. irreversible acetylcholinesterase stimulation. b. inhibition of butyrylcholinesterase(BChE). c. neurodegeneration in the hippocampus. d. cytochrome P-450 system activation.
A nurse is told that a screening test has high specificity. Which of the following is the best inter-pretation of this information?
a. The test provides precise and consistent readings. b. The test accurately identifies those with the condition or trait. c. The test accurately identifies those with-out the trait. d. The test has a high level of false positives.
The field notes in which a participant observer reflects on the meaning of observations are referred to as:
A) Descriptive notes B) Theoretical notes C) Methodological notes D) Personal notes