The nurse prepares to administer a drug for heart failure to a patient. Which assessment finding does the nurse report to the prescriber before administering the drug?
a. Systolic blood pressure increase from 128 to 136
b. Urine output of 2100 mL in 24 hours
c. Weight gain of 1 pound in 3 days
d. Heart rate of 54 beats per minute
D
Some drugs for heart failure also slow the heart rate. If the heart rate is slow before taking the drug, the drug can slow the heart rate so much that the patient cannot adequately perfuse and oxygenate his or her vital organs. Usually, if the heart rate is less than 60 beats per minute, the prescriber is notified. The next dose may be held until the pulse rate returns to normal.
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The nurse is teaching a patient about her chest drainage system. Which of the following should the nurse include in the teaching? Select all that apply
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a. opening or attention getter c. state the problem as you see it b. state your concern d. obtain agreement (or buy-in)
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A) Assess the patient's vital signs and correlate these with the patient's baselines. B) Assess the patient's eye opening and response to stimuli. C) Document that the patient currently lacks a level of consciousness. D) Facilitate diagnostic testing in an effort to obtain objective data.
Which of the following effects is an acidic drug such as aspirin likely to produce in the body?
A. No change due to upregulation in the number of transporters for tubular secretion B. Metabolic alkalosis due to limited number of transporters for tubular secretion C. Metabolic acidosis due to limited number of transporters for tubular secretion D. No change due to downregulation of the number of transporters for tubular secretion