Upon review of the history a patient ordered to receive vasopressin for bleeding esophageal varices, the nurse calls the physician to question the use of this medication when she reads that the patient has a history of:
A) Diabetes mellitus
B) Chronic kidney disease
C) Arthritis
D) Coronary artery disease
Ans: D
Feedback: Coronary artery disease is a contraindication to the use of vasopressin because coronary vasoconstriction is a side effect that may precipitate myocardial infarction.
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The community health nurse delivers a program to middle-aged adults about retirement planning and wants to them to choose the year of their retirement
Which is the most im-portant area on which the participants should focus to ease the transition to retirement? a. Kind of legacy they want to leave behind b. Type of setting for their personal residence c. Location of convenient health care services d. Ability to maintain stable standard of living
To test for Homans' sign, the nurse would:
1. dorsiflex the client's foot while the knee is flexed at 90 degrees. 2. plantarflex the client's foot while the hip is slightly flexed. 3. plantarflex the client's foot while the knee is extended. 4. dorsiflex the client's foot while the knee is slightly bent.
An elderly patient is admitted to your nursing home with a diagnosis of organic brain syndrome. This patient is frequently disoriented to person, place, and time. You expect to observe disorientation most frequently:
A) After a visit from the family B) Upon awakening (in the morning, during the night, and so on) C) During activities D) On holidays
A nurse is assigned to perform continuous bladder irrigation for a client who has
undergone a prostatectomy. What should the nurse follow when performing the procedure? A) Avoid taping the traction to client's hip or abdomen B) Monitor the setup to make sure that all the tubes are open C) Report to the physician if the drainage is blood tinged D) Assure the client that a feeling of bladder fullness is not a cause for concern