A 38-year-old patient has been prescribed nadolol (Corgard) 80 mg daily for hypertension. The patient tells you that he has stopped taking the drug. What is your best first action at this time?
a. Instruct the patient to begin taking the drug immediately.
b. Ask the patient if he is experiencing side effects of the drug.
c. Document this finding in detail.
d. Immediately notify the prescriber.
ANS: B
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A 70-year-old woman with ongoing severe atrial fibrillation is scheduled for defibrillation. What is an aspect of the rationale and physiology of defibrillation treatment?
A) Interruption of disorganized impulses by the current allows the AV node to readopt its normal pacemaker role. B) Defibrillation can be achieved using either a transcutaneous or transvenous pacemaker. C) Defibrillation must be coincided with the R wave of the ECG in order to be successful. D) The goal is to depolarize the entire heart during the passage of current.
An elderly client tells the nurse that as he gets older, he is experiencing more frequent episodes of constipation. What physiological changes of aging predispose elderly clients to constipation?
a. Loss of smooth-muscle tone of the colon b. Decreased control of the anal sphincter muscles c. Inhibition of the defecation reflex d. Inability to absorb fluid in the intestinal tract
The nursing diagnosis is: Impaired Memory related to fluid and electrolyte imbalances AMB inability to Knowledge recent events. Which of the following goals/outcomes must be included on the care plan? The nursing diagnosis is: Impaired Memory related
to fluid and electrolyte imbalances AMB inability to Knowledge recent events. Which of the following goals/outcomes must be included on the care plan?
A male client has come to the clinic with complaints of urethritis and urinary frequency with burning. The nurse should assess this client for the presence of
a. a sexually transmitted disease. b. chronic urinary tract infections. c. congenital bladder defects. d. reflux and distended bladder.