A patient with heart failure is prescribed metoprolol (Toprol XL) 25 mg daily. The pharmacy sends metoprolol (Lopressor) 25 mg. What is your best action?
a. Give the dose as provided because the drugs are the same.
b. Ask the pharmacy to send the drug as ordered.
c. Contact the prescriber for clarification.
d. Check the patient's heart rate before giving the dose.
ANS: B
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The nurse is preparing to conduct the health history of a new clinic patient. The intake notes reveal that the patient has albinism. What assessment finding should the nurse expect in this patient?
1. excessive body hair 2. white patches on the skin 3. overgrowth of scar tissue 4. very pale skin
When administering eyedrops to a patient, the nurse should avoid
a. placing the drops on the cornea of the eye b. using a separate bottle for each patient c. discarding any solution remaining in the dropper after instillation d. discarding the dropper if the tip is accidentally contaminated
Which of the following assessment findings of a male client age 77 years should signal the nurse to a potentially pathologic finding, rather than a normal age-related change?
A) The client is oriented to person and place but is unsure of the month. B) The client states that his urine stream is less strong than in the past. C) The client claims to hear high-pitched sounds less clearly than earlier in life. D) The client's gait is slow and his posture appears stooped.
An appropriate nursing diagnosis for a patient who manifests a psychological problem through frequent expressions of unfounded or excessive guilt or shame, states that he is unable to deal with situations, and has a hesitation to try new things would be:
a. Hopelessness b. Powerlessness c. Ineffective coping d. Chronic low self-esteem