The nurse is caring for a patient who was treated for cardiogenic shock and has an order for captopril (Capoten). Vital signs are blood pressure 120/70 mm Hg, pulse 85 beats/min, and respirations 16 breaths/min
What action should the nurse take regarding this medication?
a. Administer the dose.
b. Hold the medication and notify the physician.
c. Give the medication 1 hour later.
d. Ambulate the patient until blood pressure increases.
ANS: A
Vital signs are within normal limits, so it is acceptable to give the medication as ordered.
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The nurse is preparing to provide care to a group of assigned patients. Which patient should the nurse realize is at the highest risk for developing cancer?
1. an African American man 2. a Native American woman 3. an Hispanic man 4. an Hispanic woman
What information provided by the nurse would be helpful to a 15-year-old adolescent taking propylthiouracil three times a day?
a. Pill dispensers and alarms on her watch can remind her to take the medication as ordered. b. She can take the medication when she is nervous and feels she needs it. c. She can take two pills before school and one pill at dinner, which will be easier for her to remember. d. Her mother can be responsible for reminding her when it is time to take her medication.
A mother expresses concern because her 5-year-old child frequently talks about friends who don't exist. What is the nurse's best response to this mother's concern?
a. "Have you considered a child psychological evaluation?" b. "It's very normal for a 5-year-old child to have imaginary playmates." c. "You should stop your child from playing electronic games." d. "Pretend play is a sign your child watches too much television."
The nurse is working with male teens whose partners are pregnant. What situation requires that the nurse intervene? The father-to-be states that:
1. He is the only other person who will be present, although his girlfriend wants her mother to be with her during the birth. 2. He is not convinced that he is the father of the baby and doesn't want his name on the birth certificate. 3. The pregnancy doesn't seem real to him, and he's not sure what he should do to plan for the future. 4. Because his father was not involved in his life, he wants to be actively involved in the life of his child.