Which statement made by a client newly prescribed a beta-adrenergic blocker should the nurse be concerned about?
A. "I don't handle stress well; I have a lot of diarrhea."
B. "When I have a migraine headache, I need to have the room darkened."
C. "My father died of a heart attack when he was 48 years old."
D. "I have always had problems with my asthma."
Answer: D
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A patient's diagnosis of atrial fibrillation has prompted the primary care provider to prescribe warfarin (Coumadin), an anticoagulant. When assessing the therapeutic response to this medication, what is the nurse's most appropriate action?
A) Assess for signs of myelosuppression. B) Review the patient's platelet level. C) Assess the patient's capillary refill time. D) Review the patient's international normalized ratio (INR).
The nurse assesses the reproductive system of an older adult. Which of the following questions should the nurse consider including in the interview?
A) "Do you ever have secretions, blood, or other discharge from your genitals?" B) "Does your partner have satisfying orgasms?" C) "When was the last time you had sexual intercourse?" D) "With whom do you have sexual intercourse?"
During the assessment of a client with major depression, the nurse observes that the client experiences psychomotor agitation. Which of the following manifestations of psychomotor agitation is seen in the client?
A) Increased sleep C) Lack of energy B) Distractibility D) Lack of interest in daily events
When increasing the IV infusion rate of terbutaline (Brethine) 0.01 mg/min every 30 minutes, the nurse knows to stop increasing the rate when the:
a. maximum dose of 0.1 mg/min is reached. b. systolic blood pressure falls below 110 mm Hg. c. contractions are less than two in a 10-minute period. d. maternal heart rate remains over 120 beats/min.