The nurse is caring for a patient with a history of myocardial infarction and heart failure. What thyroid replacement drug would the nurse question if ordered?
A) Liothyronine
B) Levothyroxine
C) Thyroid desiccated
D) Methimazole
A
Feedback:
Liothyronine and liotrix have a greater incidence of cardiac adverse effects and are not recommended for use in patients with potential cardiac problems or patients who are prone to anxiety reactions. Levothyroxine would be the drug of choice and thyroid desiccated would not be contraindicated. Methimazole is a treatment for hyperthyroidism and would not be appropriate for the patient with hypothyroidism.
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The nurse is assisting as a neurosurgeon examines a patient who has a positive Babinski reflex. What assessment finding would the nurse expect to observe?
a. The leg flexes when the patellar tendon is struck. b. The leg extends when the patellar tendon is struck. c. Toes curl downward when the sole of the foot is stroked. d. The big toe extends when the sole of the foot is stroked.
Which definitions appropriately identify the four examination techniques used by nurses during the assessment process?
1. Palpation is visualizing, inspection is feeling or touching, percussion is hearing, and auscultation is tapping and listening. 2. Palpation is touching, inspection is feeling, percussion is tapping and listening, and auscultation is listening. 3. Palpation is touching, inspection is looking, percussion is tapping, and auscultation is listening. 4. Palpation is tapping and listening, inspection is listening, percussion is touching, and auscultation is smelling.
All nurses are expected to give competent and efficient care to clients. For which nursing action can a nurse be held liable?
A) Giving emergency CPR to a client and the client's rib is cracked B) Endorsing organic commercial products C) Not reporting a malfunctioning suction machine D) Meeting established standards of practice
Delegating nursing activities
A. is routinely done by nursing assistants. B. has no legal implications. C. is always appropriate for simple tasks. D. requires careful thought and consideration.