The nurse is providing discharge education to a client with hypertrophic cardiomyopathy (HCM). What priority instruction will the nurse include?
a. "Take your digoxin at the same time every day."
b. "You should begin an aerobic exercise program."
c. "You should report episodes of dizziness or fainting."
d. "You may have only two alcoholic drinks daily."
C
The client with HCM is instructed to notify the health care provider if episodes of fainting, diz-ziness, or palpitations occur because these may signal the onset of deadly dysrhythmias. Clients with HCM are instructed to avoid strenuous exercise and alcohol. Cardiac glycosides are con-traindicated in obstructive HCM.
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The home care nurse is caring for a patient who has severe COPD and home oxygen therapy. The patient tells the nurse that she feels much better after increasing the oxygen flowmeter from 2 L to 5 L/min
The patient's pulse oximetry is 98%. What is the priority action of the nurse? a. Reduce the oxygen flow rate until the patient's pulse oximetry value is 90% to 92%. b. Inform the patient's physician and obtain an order for oxygen at 5 L/min. c. Document the intervention and findings in the patient's medical record. d. Listen to the patient's lung fields and reinforce pursed-lip breathing techniques.
During initial assessment of a client who has just suffered a head injury, a nurse notes that the pupils have an ovoid appearance. What is the nurse's best first action?
A. Anticipate intervention for increased ICP after notifying the physician. B. Document the finding after completing a full physical assessment. C. Place the client in Trendelenburg position after ensuring that the blood pressure is normal. D. Evaluate visual acuity and accommodation after verifying this finding with another nurse.
A patient with renal failure has been taking aluminum hydroxide/magnesium hydroxide suspension (Maalox) at home for indigestion. The patient arrives for outpatient hemodialysis and is unresponsive to questions and has decreased deep tendon reflexes
Which action should the dialysis nurse take first? a. Notify the patient's health care provider. b. Obtain an order to draw a potassium level. c. Review the magnesium level on the patient's chart. d. Teach the patient about the risk of magnesium-containing antacids
An infant in the neonatal intensive care unit is prescribed caffeine (Cafcit) IV as treatment for apnea. Which medical orders should the nurse plan for, based on the addition of this medication?
Standard Text: Select all that apply. 1. Blood glucose measurements every 2 hours 2. Bilirubin measurement daily 3. Seizure precautions 4. Deep tendon reflex monitoring every 4 hours 5. Skin assessment every 4 hours