A 49-year-old female patient with cirrhosis and esophageal varices has a new prescription for propranolol (Inderal). Which finding is the best indicator that the medication has been effective?
a. The patient reports no chest pain.
b. Blood pressure is 140/90 mm Hg.
c. Stools test negative for occult blood.
d. The apical pulse rate is 68 beats/minute.
c. Stools test negative for occult blood.
Because the purpose of ?-blocker therapy for patients with esophageal
varices is to decrease the risk for bleeding from esophageal varices, the best indicator of the effectiveness for propranolol is the lack of blood in the stools. Although propranolol is used to treat hypertension, angina, and tachycardia, the purpose for use in this patient is to decrease the risk for bleeding from esophageal varices.
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To prevent infection when infusing an intermittent "piggyback" line, which intervention does the nurse implement?
a. Backpriming the secondary container from the primary line b. Detaching and capping the secondary line after use c. Using a new secondary container with each drug infused d. Using sterile gloves when administering medication
The nurse is helping a 58-year-old gentleman who was recently admitted to the unit with nephrotic syndrome plan his menu. This gentleman's admission vitals were blood pressure 140/90, height 6 ft 3 in, and weight 200 pounds
His labs revealed proteinuria and hyperlipidemia. He also has 2+ pitting edema. The nurse determines his daily protein intake should be which of the following? (Round to the nearest whole number) A) 54 to 63 g B) 64 to 73 g C) 74 to 83 g D) 84 to 93 g
The nurse learns about cultural issues involved in the patient's health care belief system and enables patients and families to achieve meaningful and supportive care. Which concept is the nurse demonstrating?
a. Marginalized groups b. Health care disparity c. Transcultural nursing d. Culturally congruent care
Mixing ingredients together in order to make a solution, cream, ointment, or other product for a patient is known as
A. QSAD. B. dilution. C. compounding. D. alligation.