The physician writes these admission orders. Which will you question, and why?
What will be an ideal response?
• The beta-adrenergic blocker propranolol (Inderal) and calcium-channel blocker verapamil (Calan)
should not be prescribed for patients with a history of heart failure; the negative inotropic side
effects can diminish cardiac output and worsen heart failure. If K.B. had an elevated BP, the
physician should initiate therapy with other beta-blockers with greater cardiac benefits.
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A woman is being treated for infrequent ovulation. The nurse should educate her about what medication?
A. Clomiphene citrate (Clomid) B. Chlorambucil (Leukeran) C. Estradiol (Estrace) D. Follicle-stimulating hormone (FSH)
A nurse is aware that there will be a surgical pediatric patient admitted later in the day, but report has not been called yet. What is the most common surgical procedure for pediatric patients?
1. Internal fixation of fracture 2. Cleft lip and palate repair 3. Appendectomy 4. Myelomeningocele repair
The community leaders in a lesser-developed country decide not to tell the citizens of a small village about a chemical spill at a major industrial facility that could produce harmful effects. Which of the following principles are they violating?
1. Policy 2. Advocacy 3. Caring 4. Virtue
When counting the apical pulse,
A. place the stethoscope over the brachial area. B. listen for a pulse deficit. C. count for 30 seconds and multiply by 2. D. count each lub-dub sound as one beat.