Which finding about a patient who is receiving vasopressin (Pitressin) to treat septic shock is most important for the nurse to communicate to the health care provider?

a. The patient's urine output is 18 mL/hr.
b. The patient's heart rate is 110 beats/minute.
c. The patient is complaining of chest pain.
d. The patient's peripheral pulses are weak.


ANS: C
Because vasopressin is a potent vasoconstrictor, it may decrease coronary artery perfusion. The other information is consistent with the patient's diagnosis and should be reported to the health care provider but does not indicate a need for a change in therapy.

Nursing

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After seeking care for tremors that have become increasingly severe in recent months, a 71-year-old man has been diagnosed with Parkinson disease and will soon begin treatment with carbidopa-levodopa

Which of the following statements indicates that the patient has an accurate understanding of his new medication? A) "I'll have to learn how to modify each dose of carbidopa-levodopa based on how bad my symptoms are that day." B) "I've read that carbidopa-levodopa is quite short-acting so I'll have to take it several times a day." C) "I'll make sure to stop taking my other medications so that my carbidopa-levodopa doesn't interact with them." D) "I've heard that it can take up to a year for carbidopa-levodopa to cure someone of Parkinson disease."

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A patient has been diagnosed with heart failure that has not yet responded to treatment. What breath sound should the nurse expect to assess on auscultation?

A) Expiratory wheezes B) Inspiratory wheezes C) Rhonchi D) Crackles

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In which sequence should the nurse perform a client's abdominal assessment to obtain the MOST accurate data?

a. auscultation, inspection, palpation, percussion b. inspection, auscultation, percussion, palpation c. palpation, inspection, percussion, auscultation d. percussion, palpation, auscultation, inspection

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After teaching a group of students about changes in body weight due to aging, the instructor determines that the students have understood the teaching when they state which of the following?

A) Thinning of the vertebral discs leads to weight loss. B) Spinal kyphosis contributes to the increase in body weight. C) An increase in lean body mass leads to weigh gain. D) Loss of muscle tissue contributes to the decrease in weight.

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