A patient with heart failure asks the nurse why the antihypertensive drug enalopril (Vasotec) has been prescribed. What is the nurse's best response?
a. "Hypertension is the most common cause of heart failure."
b. "Lowering your blood pressure will allow your heart to pump more easily."
c. "This drug will decrease the amount of blood your heart has to pump, leading to less work for you heart."
d. "Enalopril will cause your heart to reestablish its normal electrical functions so that it works more effectively as a pump."
B
Decreasing blood pressure helps improve the heart's action as a pump and decreases the heart's workload. Diuretics are used to decrease blood volume. Enalopril is an angiotensin-converting enzyme (ACE) inhibitor that interferes with the transition of angiotensin I to angiotensin II. An-giotensin II is a potent vasoconstrictor that causes increased blood pressure and increased work-load for the heart.
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Which of the following beliefs is an essential component of holistic healthcare? Select all that apply
a. Illness occurs when there is a shift in an individual's balance. b. Regardless of the type of care received, ultimately all healing is self-healing. c. More healthcare resources should be focused on alternative healers. d. Illness can create an opportunity for personal and spiritual growth.
Patients who have sustained head trauma or have undergone resection of a pituitary tumor have an increased risk of developing
a. type 1 diabetes. c. DI. b. type 2 diabetes. d. myxedema coma.
The nurse is told that a patient believes he was born into the wrong body. What is the correct terminology for the desire to have the body of the opposite sex?
a. Homosexuality b. Transsexualism c. Heterosexuality d. Bisexuality
A patient has been receiving heparin while in the hospital to treat deep vein thromboses and will be discharged home with a prescription for enoxaparin [Lovenox]
The nurse provides teaching for the nursing student who asks about the advantages of enoxaparin over heparin. Which state-ment by the student indicates a need for further teaching? a. "Enoxaparin does not require coagulation monitoring." b. "Enoxaparin has greater bioavailability than heparin." c. "Enoxaparin is more cost-effective than heparin." d. "Enoxaparin may be given using a fixed dosage."