The client is a Native American who has been diagnosed as having hypertensive disease. In conferring with the primary health provider, the nurse recognizes that which antihypertensive medication would not be effective with this client?
a. Furosemide (Lasix)
b. Metoprolol (Apo-Metoprolol, Toprol SR)
c. Minoxidil (Loniten, Rogaine)
d. Prazosin (Minipress)
ANS: B
Native Americans have a reduced or lower response to beta-blockers, such as metoprolol, when compared with Caucasians.
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When preparing a plan of care for an older adult patient, the nurse should consider the common problems associated with immobility. These problems may be classified as:
1. environmental and intellectual. 2. internal and external. 3. mental and medical. 4. physical and psychosocial.
The patient is admitted to the unit for a cardiac catheterization. Which of the following can be delegated to nursing assistive personnel (NAP)? (Select all that apply.)
a. Obtaining admission vital signs b. Preparing the patient's room c. Gathering and securing personal care items. d. Orienting the patient and family to the nursing unit
Tests are ordered for a client to measure the serum electrolytes potassium, sodium, and magnesium. What might an increase or decrease in the level of these electrolytes cause?
A) Cardiac tamponade B) Cardiac dysrhythmia C) Myocardial infarction D) Angina
While preparing to feed a patient with a tracheostomy tube connected to mechanical ventilation, a nurse notes that the cuff is deflated. Which of the following actions should the nurse take first?
1. No action is required. 2. The nurse should check the most recent ABG (arterial blood gas) results. 3. The nurse should inflate the cuff. 4. The nurse should listen to breath sounds.