The nurse is monitoring a client in hypovolemic shock who has been placed on a dopamine hydrochloride (Intropin) drip. Which manifestation is a desired response to this medication?
a. Decrease in blood pressure
b. Increase in heart rate
c. Increase in cardiac output
d. Decrease in mean arterial pressure
C
Dopamine hydrochloride causes vasoconstriction that in turn increases cardiac output and mean arterial pressure, thereby improving tissue perfusion and oxygenation. Tachycardia is not a de-sired response but often occurs as a side effect.
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For which patient is the rectal route for administering pain medication contraindicated?
a. 4-year-old child c. patient who is nau-seated b. patient who is im-munocompromised d. patient who has dys-phagia
A person with depersonalization disorder demonstrates understanding of the disorder with which of the following statements?
A) "I like the feeling I get when I do my relaxation exercises routinely." B) "I know I must avoid any form of stress or my symptoms will return." C) "I will take extra medication when I feel stressed." D) "I know I will need my antipsychotic and antianxiety medications for the remainder of my life."
Your patient, 58-year-old K.Z., has a significant cardiac history. He has long-standing coronary artery disease (CAD) with occasional episodes of heart failure (HF). One year ago, he had an anterior wall myocardial infarction (MI)
In addition, he has chronic anemia, hypertension, chronic renal insufficiency, and a recently diagnosed 4-cm suprarenal abdominal aortic aneurysm. Because of his severe CAD, he had to retire from his job as a railroad engineer about 6 months ago. This morning, he is being admitted to your telemetry unit for a same-day cardiac catheterization. As you take his health history, you note that his wife died a year ago (at about the same time that he had his MI) and he does not have any children. He is a current cigarette smoker with a 50–pack-year smoking history. His vital signs (VS) are 158/94, 88, 20, and 97.2 ° F (36.2 ° C). As you talk with him, you realize that he has only a minimal understanding of the catheterization procedure. Before he leaves for the catheterization laboratory, you briefly teach him the important things he needs to know before having the procedure. List five priority topics you will address. Look at his past history. What other factors are present that could contribute to his risk for cardiac ischemia?
The drug used in preterm labor that has few side effects and can be given orally or sublingually is:
1. Nifedipine 2. Betamethasone 3. Fetal fibronectin 4. Magnesium sulfate