Which condition would alert the nurse of the need to use beta-adrenergic blockers cautiously?
a. Hypertension
b. Raynaud's phenomenon
c. Emphysema
d. Cardiac dysrhythmias
ANS: C
Beta-adrenergic blockers can produce severe bronchoconstriction. Selective beta-1 antagonists are used to treat hypertension. Alpha-adrenergic blocking agents are used to treat patients with Raynaud's disease. Beta-adrenergic blocking agents are indicated for patients with cardiac arrhythmias.
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A nurse is working with a pregnant woman who has the nursing diagnosis of altered family processes. What statement by the patient indicates that a major goal for this diagnosis has been met?
A. "At least I'm getting better sleep now that I don't urinate every 2 hours." B. "My husband has been doing more around the house so I can rest more." C. "The kids are really excited about getting a new baby brother or sister." D. "We finally have the nursery painted and furnished so it's ready for baby."
The nurse knows that an older adult client with a diagnosis of heart failure (HF) will most likely have compromised ability to perform activities of daily living upon discharge due to which of the following statements listed below?
A) The client's musculature will be dependent on aerobic metabolism. B) The client's diagnosis will have contributed to cardiac muscle atrophy. C) Intramuscular acidification will cause the client to be more easily fatigued. D) The client will have experienced a shift toward the use of slow-twitch muscle fibers.
A client has been discharged from the hospital following coronary artery bypass grafting (CABG). The client asks the nurse about the chest pain he experienced prior to coming to the hospital during the heart attack
What instructions should the nurse include in the instructions? A) "If chest pain occurs, rest. If it doesn't go away, take nitroglycerin and report the even to the physician even if the pain is relieved." B) "If chest pain occurs, take a nitroglycerin. If unrelieved, take another one 5 minutes later. If relieved, no further action is required." C) "If chest pain occurs, it may be related to gastritis. Take an antacid and lie down for 30 minutes." D) "You should not have chest pain because you had the CABG, and it fixed the problem with your heart."
During postmortem care, the client's family instructs the nurse not to put the dentures in the client's mouth. Which should the nurse explain to the family?
1. It will take a minute to clean and package the dentures. 2. Clients usually want their dentures in place for viewing. 3. Dentures must accompany the body to the funeral home. 4. Hospital policy states all personal items go with the body.