The nurse, caring for a patient taking a beta-blocker and a nitrate to treat angina, recognizes the need for careful monitoring as the result of what secondary diagnosis?
A) Chronic obstructive pulmonary disease (COPD)
B) Rheumatoid arthritis (RA)
C) Irritable bowel syndrome (IBS)
D) Chronic urinary tract infection (UTI)
A
Feedback:
The nurse should assess for COPD, because the effect of beta-blockers in reducing effects of the sympathetic nervous system could exacerbate the respiratory condition. RA, IBS, and chronic UTI are not affected by the use of beta-blockers or nitrates to treat angina.
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A nurse is caring for a client with urinary incontinence and diarrhea. What is the highest priority nursing diagnosis for this client?
A) Risk of infection B) Social isolation C) Impaired walking D) Risk of loneliness
The nurse is planning care for a client with esophageal cancer due to years of nicotine abuse. Which is the priority nursing diagnosis for this client?
A) Decisional Conflict B) Situational Social Isolation C) Disturbed Body Image D) Ineffective Airway Clearance
During a routine physical examination, a preadolescent tells the nurse, "I am too fat and I'm going to do whatever I can to look like the girls on the cover of fashion magazines."
The nurse plans care for this client based on which risk factor for eating disorders? A) A desire for a long-term profession B) Societal influences on body weight for girls C) Unrealistic expectations D) Family influences on body weight
The nurse is admitting an 8-year-old Vietnamese child who hit a parked car while riding a bike. The child has a fracture of the left radius and femur in addition to a fractured orbit. The child is stoic, and denies pain
The most appropriate initial action by the nurse is to: 1. Use the FLACC scale to determine the child's pain level. 2. Tell the child to ring the call bell if the leg starts hurting. 3. Administer pain medication now and continue on a regular basis. 4. Ask the child's parents to notify the nurse if the child complains of pain.