The emergency department nurse is asked to prepare a nitroprusside (Nitropress) infusion for a patient being brought to the hospital in an ambulance. The nurse knows this drug is only used in what circumstances?
A) Hypertensive emergencies
B) Hypertension in a patient having a myocardial infarction
C) Hypertension complicated by symptoms of a stroke
D) Hypertension associated with diabetic ketoacidosis
A
Feedback:
Most of the vasodilators are reserved for use in severe hypertension or hypertensive emergencies. These include hydralazine, minoxidil, and nitroprusside. The presence of absence of a comorbidity does not increase the likelihood of use. These drugs are used when blood pressure is extremely high and needs to be reduced quickly.
You might also like to view...
Parents complain about the amount of time their 14-year-old girl spends on the Internet. Which comment would be most valuable to the parents?
A) "Limit her usage of the Internet to an hour per day." B) "Does she do her homework, and socialize in person?" C) "Place the computer where you can keep an eye on her." D) "You need to warn her about protecting her identity."
A 77-year-old male is brought into the emergency department accompanied by his daughter. She reports that her father has been complaining of right-handed weakness for 2 to 3 hours and that she has noticed him slurring his speech
On physical examination, the right hand grip strength is 1/ 5 compared to the left hand grip of 5/5. A facial droop is noted on the right side of the face. Cranial nerve dysfunction is noted in the right-sided CNVII, CN V, CNIX, CNX, CNXI, and CNXII. The clinician should request the following diagnostic test immediately: A. MRI of head B. CT of the head C. Lumbar puncture D. ECG
The nurse is planning discharge education for a client after coronary artery bypass graft surgery. Which instruction does the nurse include in this client's teaching?
a. "Remember to drink at least 3 liters of fluid daily." b. "You should abstain from sexual activity for 6 months." c. "Take your pulse before, midway through, and after exercising." d. "Stop taking your antihyperlipidemic me-dication at this time."
The mother of a young girl was concerned that her daughter may have mental retardation
The mother states that her daughter has difficulty communicating, lagging far behind her peers. Which of the following would confirm a diagnosis of mental retardation? A) An intelligence quotient (IQ) of 70 or below B) The diagnosis can be made based on communication difficulties C) An intelligence quotient (IQ) of approximately 100 or above D) If, in addition to communication difficulties, her daughter also has vision problems