The nurse is caring for a client who is recovering from a myocardial infarction (MI). The nurse anticipates that the client will be prescribed which medications in order to reduce post-MI mortality?
Standard Text: Select all that apply.
1. Aspirin
2. Beta-blockers
3. Narcotic analgesics
4. ACE inhibitors
5. Antidysrhythmics
Correct Answer: 1,2,4
Rationale 1: Aspirin is often prescribed to reduce the risk of post-MI mortality.
Rationale 2: Beta-blockers are often prescribed to reduce the risk of post-MI mortality.
Rationale 3: Narcotic analgesics are not prescribed to reduce the risk of post-MI mortality. They are administered to manage severe pain and anxiety associated with MIs.
Rationale 4: ACE inhibitors are prescribed to reduce the risk of post-MI mortality.
Rationale 5: Antidysrhythmics are prescribed to treat post-MI dysrhythmias, not to reduce the risk of post-MI mortality.
Global Rationale: Aspirin, beta-blockers, and ACE inhibitors are often prescribed to reduce the risk of post-MI mortality. Narcotic analgesics are not prescribed to reduce the risk of post-MI mortality. They are administered to manage severe pain and anxiety associated with MIs. Antidysrhythmics are prescribed to treat post-MI dysrhythmias, not to reduce the risk of post-MI mortality.
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The nurse is reviewing an entry made by the previous nurse in a newly admitted patient's medical record:
Admission Note: The patient is a 56-old-female whose father immigrated to the U.S. in 1938 and whose mother was born in the U.S. The patient explains that she didn't learn English until entering grade school, which was appropriate since her father was learning the language at the same time. Her parents were hard workers, ran their own restaurant in which all family members were expected to work, and placed a high value on education. The patient states that "I might be female but I was raised as a boy." She continued by explaining that her father didn't want the females in the family to be dependent upon a man for an income or security through life. The patient attends church every Sunday and on Holy Days and follows abstinence of specific foods throughout the calendar year. Specific ethnic dishes are prepared for Christmas, Easter, and Saints Days. Her childhood home was filled with ethnic music, songs, and the expectation to play an instrument. Cigarette smoking was not condemned but wasn't encouraged. Drinking alcohol such as wine and whiskey was an acceptable practice from an early age since this was the acceptable behavior from her father's home country. Which of Purnell's cultural domains are represented in this chart entry? (Select all that apply.) 1. Heritage 2. Pregnancy 3. Communication 4. Workforce issues 5. High-risk behaviors
A patient who is has alcoholism with a history of heavy drinking is brought to the inpatient psychiatric unit saying that he does not know where he is or what day it is. What should the nurse suspect he is exhibiting?
a. Delirium b. Alcoholic dementia c. Blackout d. Amnesia
When assessing a newborn, the nurse finds areas at the base of the spine that look like bruises. The nurse knows that these areas are most common in infants of which of the following ethnic backgrounds?
A) Pacific Islanders B) Italian American C) African American D) Irish American
Being bilingual has many advantages when helping patients or securing advancement in the future
Indicate whether the statement is true or false.