The nurse is preparing to administer a dose of digoxin (Lanoxin) to a child in heart failure (HF). Which is a beneficial effect of administering digoxin (Lanoxin)?
a. It decreases edema.
b. It decreases cardiac output.
c. It increases heart size.
d. It increases venous pressure.
ANS: A
Digoxin has a rapid onset and is useful for increasing cardiac output, decreasing venous pressure, and, as a result, decreasing edema. Cardiac output is increased by digoxin. Heart size and venous pressure are decreased by digoxin.
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The nurse explains that as a result of loss of elasticity of the lens, an age-related vision change occurs called:
a. nearsightedness. b. cataracts. c. presbyopia. d. blepharitis.
A community hospital wants to implement a labor delivery recovery postpartum unit to replace the labor and delivery and mother/baby units
The nurses who work on the mother/baby unit are concerned they will not be able to care for a laboring mother and may lose their jobs. The nurse manager for both units supports the plan for an integrated unit, reports that jobs would not be lost and involves the team members in the planning process, which includes cross-training all nursing staff. Based on the information presented, what causes of conflict may occur in spite of the nurse manager's effort for a smooth transition? Select all that apply. A) Mistrust B) Miscommunication C) Ambiguous role expectations D) Resistance to change E) Ineffective leadership
A patient has been taking phentermine and topiramate [Osymia] for 6 months for weight loss. The nurse weighs the patient and notes a 3% weight loss since beginning the drug. The nurse will expect the prescriber to:
a. continue the current dosage for 4 more weeks. b. discontinue the drug. c. increase the drug dosage. d. switch to another nonamphetamine agent.
A lawsuit is brought against a nurse in a rural hospital. The nurse replies that the standard of care for rural nurses is different from that for nurses working in large urban facilities. Is this a defensible position?
1. Yes, the rural nurse does not have access to the same quality of inservice education as the urban nurse. 2. Yes, it is well known that rural health care is substandard as compared to urban health care. 3. No, nurses in rural settings must meet the same standards as those practicing in large urban areas. 4. No, rural nurses work in a slower paced environment, so they have more time to provide quality personal care.