The nurse in a coronary care unit interprets information from hemodynamic monitoring. The client has a cardiac output of 2.4 L/min. Which of the following actions should be taken by the nurse?

A. No intervention is needed; this is a normal reading.
B. Collaborate with the physician to administer a positive inotropic agent.
C. Administer a stat dose of metoprolol (Lopressor).
D. Ask the client to perform the Valsalva maneuver.


Answer: B. Collaborate with the physician to administer a positive inotropic agent.

Nursing

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Nancy has been working as an RN in acute care for 4 months. She has been offered the evening supervisor position at a local nursing home

The salary is attractive. What should be her main consideration prior to accepting this position? A. Her clinical expertise, business sense, and leadership skills B. Staffing ratios and number of RNs on the evening shift C. Vacation, sick time, and tuition reimbursement D. Mission and philosophy of the facility

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The nursing task force is developing measurable goals for each client on the orthopedic unit. Of which is the statement: ?Each client will have a written assessment and plan of care document within eight hours of admission? an example?

1. Indicator 2. Structure standard 3. Benchmark 4. Process standard

Nursing

Which of the following is most true of older widowers?

a. they may focus more on themselves b. they have an increased self esteem c. they may lose interest in social activities d. they experience a heightened sense of sexuality

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The nurse is discussing issues that are important with parents considering a cross-racial adoption. Which statement made by the parents indicates further teaching is needed?

a. "We will try to preserve the adopted child's racial heritage." b. "We are glad we will be getting full medical information when we adopt our child." c. "We will make sure to have everyone realize this is our child and a member of the family." d. "We understand strangers may make thoughtless comments about our child being different from us."

Nursing