The patient has been in chronic heart failure for the past 10 years. He has been treated with beta-blockers and angiotensin-converting enzyme inhibitors as well as diuretics
His symptoms have recently worsened, and he presents to the ED with severe shortness of breath and crackles throughout his lung fields. His respirations are labored and arterial blood gases show that he is at risk for respiratory failure. Which of the following therapies may be used for acute, short-term management of the patient? (Select all that apply). a. Dobutamine
b. Intraaortic balloon pump
c. Nesiritide (Natrecor)
d. Ventricular assist device
A, B, C
This patient is showing signs and symptoms of an acute exacerbation of heart failure. Dobutamine and nesiritide are medications administered for acute short-term management; mechanical assist with an intraaortic balloon pump also may be warranted.
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The student nurse recognizes that according to the nurse practice acts of most states, nurses are required to perform which of these functions?
a. assist physicians c. place intravenous lines b. communicate with clients and peers d. teach clients
A client suspected of having strep throat is in the clinic. The nurse is preparing to collect a throat culture, and should instruct the client to:
1. Brush her teeth before the test. 2. Gargle with mouthwash. 3. Drink water before the test. 4. Open her mouth, stick out her tongue, and say "ah."
A patient has not eaten since admission to the long-term care facility 2 days ago. Which is the best initial intervention for the nurse to prevent malnutrition in this patient?
a. Make a diet request to the healthcare pro-vider for full liquids. b. Ask the patient's daughter why the patient will not eat. c. Remind the patient that nutrition is essen-tial to better health. d. Assess the patient for possible reasons for the lack of intake.
Infants with congenital hypothyroidism are treated with:
1. Levothyroxine 2. Liothyronine 3. Liotrix 4. Methimazole