A primigravida dilated to 5 cm has just received an epidural for pain. She complains of feeling lightheaded and dizzy within 10 minutes after the procedure. Her blood pressure was 120/80 before the procedure and is now 80/52
In addition to the bolus of fluids she has been given, which medication is preferred to increase her BP? 1. Epinephrine
2. Terbutaline
3. Ephedrine
4. Epifoam
3
Rationale 1: Epinephrine is used to relieve bronchospasm, or during anaphylactic reactions.
Rationale 2: Terbutaline is used as a tocolytic.
Rationale 3: Ephedrine is the medication of choice to increase maternal blood pressure.
Rationale 4: Epifoam is a topical anesthetic.
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You are visiting a female patient, age 80, in her home. She is receiving 0.15 mg of oral digitoxin daily. She also takes hydrochlorothiazide 50 mg twice a day. She complains of blurred vision and nausea
You observe that she is confused and disoriented at times. What might be the problem? 1. The patient needs to have her hydrochlorothiazide increased. 2. The patient may have digitalis toxicity. 3. The patient may have developed chronic heart failure. 4. The patient may have Alzheimer's disease.
A client is being discharged with a large wound on the right ankle that has cellulitis. The client is obese, smokes 2 packs of cigarettes a day, and is sedentary
In the discharge instructions, which lifestyle modification would be most important for the nurse to include? The client should a. drink more water. b. lose weight. c. start an exercise routine. d. stop smoking.
A patient who is being admitted for surgery asks the nurse why information is being collected about the patient's use of herbal and natural supplements. How should the nurse respond to this patient?
1. "Herbal supplements may interact with anesthetic agents." 2. "Herbal remedies may cause pain relievers to be ineffective." 3. "The physician is in charge of medications." 4. "There is no need to take these preparations."
The basic-level psychiatric mental health nurse is one who has demonstrated clinical skills within the specialty of psychiatric nursing, and whose education is at least at which of the following levels?
a. licensed practical nursing b. associate degree c. baccalaureate degree d. master's degree