The nurse in acute care is reviewing a patient's medications and notes that a prescriber's order for the patient has been changed to nesiritide (Natrecor)
The nurse understands that the advantage of nesiritide (Natrecor), the synthetic form of natriuretic peptide, in treating heart failure is that a. it does not cause hypotension.
b. it reduces both preload and afterload.
c. no adverse events have been associated with its use.
d. it has an oral dose formulation.
B
Nesiritide reduces both preload and afterload by dilating arterioles and veins.
Nesiritide may cause hypotension because of its vasodilatory effects, therefore the blood pressure must be monitored carefully.
Many adverse effects have been associated with the use of nesiritide; in fact, it is still being in-vestigated.
Nesiritide is administered only intravenously.
You might also like to view...
A nurse is teaching a patient and the patient's family about self-care measures for hypertension. Which topics does the nurse include? (Select all that apply.)
a. Increase exercise on most days b. Maintain a normal body weight c. Abstain from any alcohol d. Reduce dietary sodium to 2.4 g/day e. Follow the DASH diet
A patient with a diagnosis of renal cell carcinoma is being treated with chemotherapy. During a previous round of chemotherapy, the patient's tumor responded well to treatment but the chemotherapy caused intense nausea and vomiting
How should the patient's potential nausea and vomiting be addressed during this current round of treatment? A) Prioritize nonpharmacological treatments over medications. B) Administer antiemetics in anticipation of the patient's nausea. C) Provide the patient with antiemetics at his first complaint of nausea. D) Administer antiemetics if the patient vomits or believes he will soon vomit.
The nurse has returned from working as a maternal–child nurse volunteer for a nongovernmental organization. After completing a community presentation about this experience, the nurse knows that learning has occurred when a participant states:
1. "Malaria is a chronic disease, and rarely causes fetal loss." 2. "Escherichia coli bacteria can cause diarrhea but not stillbirth." 3. "Group B streptococci can cause infection and the death of the fetus." 4. "Viral infections don't cause fetal death in underdeveloped nations."
An interpreter who will assist in communicating with a client from a different culture will not arrive for several hours. The client has many questions and the only person available to assist with translating is the client's adult daughter
Which of the following situations can occur with using this family member as an interpreter? 1. The daughter may alter information to protect the client. 2. The nurse will not have to wait for the interpreter to arrive. 3. The client's care can begin sooner if the daughter is used to interpret. 4. The client will understand everything that is occurring with his health.