The nurse administers a beta blocker to a client after a myocardial infarction. What assessment finding does the nurse expect?
a. Blood pressure increase of 10%
b. Increasing respiratory rate
c. Increased cardiac output
d. Pulse decrease from 100 to 80 beats/min
D
Beta blockers block the stimulation of beta1-adrenergic receptors. They block the sympathetic (fight-or-flight) response and decrease the heart rate (HR). The beta blocker will decrease HR and blood pressure, increasing ventricular filling time. It usually does not have effects on be-ta2-adrenergic receptor sites. Cardiac output will drop because of decreased heart rate.
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The nurse is teaching the parents of a child with a severe, chronic condition ways to promote growth and development. Which suggestion by the nurse is the most appropriate?
A. Allow interaction with peers, family, and community members. B. Ensure that the child is getting a nutritious diet and plenty of exercise. C. Insist that the public school include the child in all activities. D. Plot the child's growth and weight gain on growth charts monthly.
A patient comes to the free clinic complaining of a gray-white discharge that clings to her external vulva and vaginal walls
A nurse practitioner assesses the patient and diagnoses Gardnerella vaginalis. What would be the most appropriate nursing action at this time? A) Advise the patient that this is an overgrowth of normal vaginal flora. B) Discuss the effect of this diagnosis on the patient's fertility. C) Document the vaginal discharge as normal. D) Administer acyclovir as ordered.
The nurse is providing care in a community clinic that serves members of vulnerable populations. The best definition of a vulnerable population is:
a. clients with chronic diseases such as AIDS or heart failure. b. women and children. c. people living in rural areas. d. clients who are unable to gain access to health care when needed.
A 16-year-old young woman is admitted to the critical care unit with severe hyperglycemia caused by new-onset type 1 diabetes mellitus. The patient is complaining of headache and blurred vision. The nurse knows that these are signs that may indicate
a. kidney stones. b. diabetes insipidus. c. hypoglycemia. d. hyperglycemia.