The nurse is evaluating the effectiveness of a client's antihypertensive medication, captopril (Capoten). The nurse knows this medication has less effectiveness on which of the following?
1. The 47-year-old African American client
2. The 23-year-old white male
3. The 62-year-old white female
4. The 78-year-old Asian male
The 47-year-old African American client
Rationale: ACE inhibitors have less effectiveness on African American clients than other client types. African American clients also have a greater incidence of angioedema with ACE inhibitors than non-African Americans.
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The nurse is examining the lymphatic system of a healthy 3-year-old child. Which finding should the nurse expect?
a. Excessive swelling of the lymph nodes b. Presence of palpable lymph nodes c. No palpable nodes because of the immature immune system of a child d. Fewer numbers and a smaller size of lymph nodes compared with those of an adult
When the deceleration pattern of the fetal heart rate "mirrors" the uterine contraction, which nursing action is indicated?
a. Administer oxygen by nasal cannula. b. Reposition the woman. c. Apply a fetal scalp electrode. d. Record this reassuring pattern.
The family of an older client asks the nurse if the client qualifies for Medicaid to help with hospital bills. What information should the nurse provide to the family?
1. Eligibility for Medicaid is based upon annual income level. 2. Medicaid is available to individuals once they have the ability to retire. 3. Medicaid is intended to assist low-income individuals over the age of 65. 4. Eligibility for Medicaid begins when entering a long-term care facility.
The nurse is caring for a client who is undergoing rehabilitation. Which nursing intervention would be best to prevent venous stasis and thrombus formation?
a. Range-of-motion exercises b. Foot support while in bed c. Increased dietary calcium intake d. Avoidance of sudden position changes