The nurse is attempting to increase contractility to improve cardiac output in a patient with acute exacerbation of heart failure. Which measure would be helpful to improve cardiac contractility?
1. Administering magnesium sulfate
2. Encouraging the patient to exercise
3. Giving the patient a beta-adrenergic blocking medication
4. Correcting oxygenation and mild respiratory acidosis
4
Rationale 1: Magnesium sulfate is a smooth muscle relaxer and would not increase cardiac contractility.
Rationale 2: Encouraging exercise in a patient with acute exacerbation of heart failure is an unsafe intervention.
Rationale 3: Beta-adrenergic blocking medication would decrease cardiac contractility.
Rationale 4: Achieving normal oxygenation and correcting acidosis would improve cardiac contractility.
You might also like to view...
The nurse is caring for client on the unit who has just died. The client's adolescent daughter is very quiet, and the nurse attempts to talk with her. The adolescent remains silent, not wishing to talk about the loss
Which action by the nurse is appropriate to assist the adolescent? A) Ask the doctor to prescribe a sedative for the adolescent. B) Ask the adolescent if any friends are available to talk. C) Provide the adolescent with paper, pens, and pencils. D) Notifying the hospital chaplain to come talk with the adolescent.
The nurse administers epoetin alfa (Epogen) to a patient on dialysis. What should the nurse expect the therapeutic effect of this medication to be?
1. It treats the anemia seen in chronic kidney disease patients on dialysis. 2. It combats the effects of dialysis on bone marrow. 3. It promotes elimination of nephrotoxic drugs from the body. 4. It enhances absorption of iron and folate in the intestinal tract.
The nurse is caring for a client receiving codeine sulfate for pain. The nurse determines that the client is experiencing a side effect of the medication based on which of the following findings?
1. Distended jugular veins 2. Bounding peripheral pulses 3. No bowel movement in 3 days 4. Change in blood pressure from 120/60 to 140/80 mm Hg
The nurse manager meets with the staff nurses to discuss ways to improve communication between the shifts. Which statement by the nurse manager best exemplifies the final stage of conflict management?
1. "We need to clearly define the nature of the conflict." 2. "Let's create a timeline for the implementation of our strategies." 3. "I will evaluate the outcomes of our strategies on a monthly basis." 4. "Hopefully, each group can understand each other's perceptions of the issue."