A client receiving intravenous nitroglycerin at 20 mcg/min complains of dizziness. Nursing assessment reveals a blood pressure of 85/40 mm Hg, heart rate of 110 beats/min, and respiratory rate of 16 breaths/min. What is the nurse's priority action?
a. Assess the client's lung sounds.
b. Decrease the intravenous nitroglycerin by 10 mcg/min.
c. Stop the nitroglycerin infusion for 1 hour, and then restart.
d. Recheck the client's vital signs in 15 minutes but continue the infusion.
Answer: b. Decrease the intravenous nitroglycerin by 10 mcg/min.
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The nurse performs a Snellen chart examination on a patient. What Snellen chart finding would indicate normal vision for the patient?
a. Both eyes 20/20 b. Left eye 20/200 c. Left eye 80/20 d. Right eye 200/20
The nurse is caring for a client who has taken a large quantity of furosemide (Lasix) to promote weight loss. The nurse anticipates the finding of which acid-base imbalance?
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A patient scheduled for Mohs surgery for basal cell skin cancer asks how long the procedure will take. How should the nurse respond to this patient? Select all that apply.
A. "This is a long, complicated procedure and may take all day." B. "It is difficult to predict how long the procedure will take." C. "The procedure occurs in steps, and time needed depends on your lesion." D. "The procedure should be completed in an hour or less." E. "The time depends on how deep the lesion is."
A patient who is taking delavirdine (Rescriptor) as part of combination therapy for human im-munodeficiency virus (HIV) complains of rash, fever, and headache. Which of the following in-terpretations is accurate regarding this patient's symptoms?
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