A patient is admitted with severe hypertensive crisis. The nurse will anticipate administering which medication?
a. Captopril PO
b. Hydralazine (Apresoline) 25 mg PO
c. Minoxidil 20 mg PO
d. Sodium nitroprusside (Nitropress) IV
ANS: D
Sodium nitroprusside is the drug of choice for hypertensive emergencies and is given intravenously. ACE inhibitors, such as captopril, are not used. Hydralazine may be used but should be given IV. Minoxidil is effective, but its severe side effects make it a second-line drug.
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A junior nursing student is having an observation day in the operating room. Early in the day, the student tells the OR nurse that her eyes are swelling and she is having trouble breathing. What should the nurse suspect?
A) Cytotoxic reaction due to contact with the powder in the gloves B) Immune complex reaction due to contact with anesthetic gases C) Anaphylaxis due to a latex allergy D) Delayed reaction due to exposure to cleaning products
The nurse is caring for a patient who exhibits abnormal results of the Weber test and Rinne test. The nurse should suspect dysfunction involving what cranial nerve?
A) Trigeminal B) Acoustic C) Hypoglossal D) Trochlear
During an endocrine assessment, the nurse notes that the patient's heart rate is sustained at 160 beats per minute. The patient reports nervousness but has no loss of consciousness or reduced mentation. What nursing intervention is priority?
1. Ask how long the patient's heart has been beating so fast. 2. Note the findings in the patient's medical record. 3. Notify the health care provider immediately. 4. Have the patient ambulate around the room and reassess.
The disaster is over and the team prepares to return to normal operations. Before disbandment of the team, it is essential to create a safe environment for the staff. The staff will participate in:
A) Critical incident stress debriefing B) Support group to foster recovery C) Information debriefing for prevention purposes D) Interrogation process to identify unsafe behaviors