The student nurse is caring for a client with heart failure. Diuretics have been ordered. What method might be used with a debilitated patient to help the nurse evaluate the client's response to diuretics?
A) Using mechanical ventilation
B) Using a urinary catheter
C) Using a pulmonary artery catheter
D) Using a biventricular pacemaker
B
Feedback:
To evaluate response to diuretics, a urinary catheter is used. Mechanical ventilation helps maintain a normal breathing pattern. A pulmonary artery catheter helps estimate cardiac output. A biventricular pacemaker is used to sustain life.
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a. Atrial flutter b. Tachycardia c. First-degree heart block d. Ventricular fibrillation
A patient with myasthenia gravis has been on cholinesterase inhibitor therapy. The patient reports on occasion that she has some difficulty swallowing and periods of fatigue
The patient asks, "What can be done to remedy this?" The nurse's best response would be a. "You are already on a high dosage of the drug. You will have to cope with these symptoms." b. "This could mean that the dosage is too high and you should skip every other dose." c. "Let's discuss some strategies to help you learn to self-adjust the dose in response to your symptoms." d. "You are developing tolerance to the drug and will need to change to a different class of agents."