The nurse administers intravenous dobutamine (Dobutrex) to a client who has heart failure. Which clinical manifestations indicate that the client's status is improving? (Select all that apply.)
a. Decreased heart rate
b. Increased heart rate
c. Increased contractility
d. Decreased contractility
e. Increased respiratory rate
B, C
Dobutamine is a positive inotropic agent that works by stimulating beta-adrenergic receptor sites. The result of this stimulation is an increase in the rate and force of the myocardial contraction. Dobutamine has no effect on respiratory rate.
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The standard method of appraisal used by the facility rates a nurse's performance as satisfactory, but the nurse manager feels the nurse has room for improvement in many areas. What action should be taken by the manager?
1. Ask another staff nurse's opinion of the situation. 2. Address the situation with the chief nursing officer. 3. Submit the appraisal as computed by the standard form. 4. Focus on developing a plan to improve the areas concerned.
Discharge planning for patients leaving the hospital should include instructions on the use of over-the-counter (OTC) drugs. Which comment by the patient would demonstrate a good understanding of OTC drugs?
A) "OTC drugs are safe and do not cause adverse effects if taken properly." B) "OTC drugs have been around for years and have not been tested by the Food and Drug Administration (FDA)." C) "OTC drugs are different from any drugs available by prescription and cost less." D) "OTC drugs could cause serious harm if not taken according to directions."
The nurse is conducting an assessment of a 65-year-old client who has come for an annual assessment. For which reasons should the nurse anticipate providing immunizations to the client? (Select all that apply.)
1. Promoting client health 2. Caring for the client's illness 3. Maintaining the client's health 4. Alleviating the client's suffering 5. Caring for the client's family
The support of the nurse for the client in a therapeutic relationship encourages what from the client?
A) Submission and growth B) Change and goal setting C) Growth and change D) Interpersonal stability