A drug blocks the attachment of norepinephrine to a1 receptors. The patient may experience:
a. hypertensive crisis.
b. orthostatic hypotension.
c. severe appetite disturbance.
d. an increase in psychotic symptoms.
ANS: B
Sympathetic-mediated vasoconstriction is essential for maintaining normal blood pressure in the upright position. Blockage of a1 receptors leads to vasodilation and orthostatic hypotension. Orthostatic hypotension may cause fainting and falls. Teach patients ways of minimizing this phenomenon.
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An adolescent has vaginally given birth to a healthy baby. What action by the nurse would be most important in developing a plan to help this mother bond successfully?
A. Ask the mother about her expectations of the baby and their relationship. B. Determine if the mother plans to keep the baby or give it up for adoption. C. Inquire as to how many family members are available to help care for the baby. D. Refer the mother and her baby to the social worker or to the visiting nurses.
A nurse working in labor and delivery is planning care for a client who is arriving to the unit from a local obstetrician's office with a suspected perinatal loss. Which nursing intervention is most appropriate in this situation?
A) Place the client in a room closest to the nurse's station to closely observe the client. B) Call the hospital chaplain to ensure the chaplain can be in the client's room when the client arrives. C) Call the local funeral home and notify them of the client's situation. D) Place the client in the room furthest from the other clients.
What steps are involved in the patient-to-patient transmission of pathogens? (Select all that apply.)
A) The nurse uses an alcohol-based hand rub for hand hygiene B) Organisms are transferred from the patient to the nurse's hands C) Organisms survive on the nurse's hands for less than 1 minute D) The nurse's contaminated hands come into direct contact with another patient E) Organisms are present in the patient's immediate environment
In The Orange Book, the letter "AB" rating indicates that products:
A. are considered bioequivalent B. required clinical trials to determine the preferred route of administration C. required clinical trials to determine the efficacy of the drug D. are considered therapeutically nonequivalent