A patient taking methyldopa (Aldomet) for hypertension reports to the emergency department with a severe headache, blurred vision, and a blood pressure reading of 200/94 mm Hg. What should the nurse suspect is happening to this patient?

a. Hyperglycemia
b. Ineffective coping with sedation
c. Abrupt cessation of medication
d. Sexual dysfunction


C
Abruptly stopping antihypertensive medications can result in a hypertensive crisis. The patient's presenting symptoms may include rebound hypertension and reports of confusion, nausea, res-tlessness, headache, and vision abnormalities.

Nursing

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The nurse recognizes that the center of care for the patient with a chronic illness occurs in the:

A) Hospital B) Physician's office C) Home D) Rehabilitation facility

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The nurse who has decided to seek a master's degree asks the hospital's chief nurse for support

The chief nurse followed a career path from associate degree nurse, to baccalaureate nurse, to master's prepared nurse, and eventually obtained a nursing doctorate. The chief nurse would be acting in which role for the new student? 1. Colleague 2. Friend 3. Faculty 4. Mentor

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A client is brought to the emergency department (ED) after a motorcycle accident. The client has suffered a ruptured spleen. What is the immediate priority?

a. Emergent surgery to control bleeding b. Aggressive pain control c. Calling the family members d. Assessment of neurologic status

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Which of the following is not required in a referral letter?

a. the woman's name, address and date of birth b. the woman's full medical history c. any relevant supporting documentation (e.g. blood tests, ultrasound reports) d. the reason the referral is sought

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