A patient is diagnosed with an aortic dissection. Which medications should the nurse expect to be prescribed for this patient?
Select all that apply.
1. verapamil (Isoptin)
2. esmolol (Brevibloc)
3. diltiazem (Cardizem)
4. hydralazine (Apresoline)
5. sodium nitroprusside (Nipride)
Correct Answer: 1, 2, 3, 5
Patients with aortic dissection are initially treated with intravenous beta-blockers such as esmolol (Brevibloc) to reduce the heart rate to about 60 bpm. Sodium nitroprusside (Nipride) infusion is started concurrently to reduce the systolic pressure to 120 mmHg or less. Calcium channel blockers such as verapamil (Isoptin) or diltiazem (Cardizem) also may be used. Direct vasodilators such as hydralazine (Apresoline) are avoided because they may actually worsen the dissection.
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A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24 . When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this?
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A primigravida is admitted to the birth setting in early labor. She is 3 cm dilated, -2 station, with intact membranes and FHR of 150 beats/min. Her membranes rupture spontaneously, and the FHR drops to 90 beats/min with variable decelerations
The initial response from the nurse would be to: 1. Perform a vaginal exam. 2. Notify the physician. 3. Place the patient in a left lateral position. 4. Administer oxygen at 2 L per nasal cannula.
A pregnant client with rheumatoid arthritis arrives for a prenatal examination. How should the nurse support this client's needs? Select all that apply
1. Assist with positioning on the examination table. 2. Repeat teaching instructions slowly and succinctly. 3. Assist with changing clothing for the examination. 4. Permit the client privacy while preparing for the examination. 5. Recommend delaying an examination until later in the pregnancy.