The nurse has completed medication education with a post–myocardial infarction (MI) patient about nifedipine (Adalat). The nurse evaluates the education as effective when the patient makes which statement?
1. "I only need to take this medicine if I plan to do a strenuous activity."
2. "I will need to take this medicine until my stress test is normal."
3. "I only need to take this medicine when I experience chest pain."
4. "I will need to take this medicine for the rest of my life."
Correct Answer: 4
Rationale: Beta blockers reduce myocardial oxygen demand, which is critical for patients who have experienced a recent myocardial infarction (MI). Unless contraindicated, beta-blocker therapy continues for the remainder of the patient's life. Beta-blocker therapy must continue for the remainder of a patient's life, this is not based on the results of a test. Beta blockers are taken on a scheduled basis, not as needed (prn); this statement refers to nitrates. Beta blockers are not used prophylactically; this statement refers to nitrates.
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a. individualizing care. b. improving cognition. c. maintaining optimum function. d. promoting self-confidence and self-esteem.
A client has received a high score on the Life-Change Index. For which part of the client's assessment should the nurse use this information?
1. Life stress review 2. Social support systems review 3. Lifestyle assessment 4. Health beliefs review
A nurse is caring for an older adult client preparing for discharge to a nursing center after having hip surgery. Which of the following nursing responses is most therapeutic when dealing with the client's concern that she, "will never go back home"?
1. "What makes you think that this transfer to the nursing center will be perma-nent?" 2. "The reason for this transfer is only to support you while you continue to recuper-ate." 3. "The decision to stay in the nursing center is yours to make. When you want to leave no one will stop you." 4. "The nursing center is a lovely place with a wonderful staff of caring people. Just give it a chance. You may like it."
Which of the following statements is true of nondepolarizing blockers?
A. After binding to the Nm receptors, nondepolarizing drugs alter the receptors so that they cannot respond to endogenous ACH stimulation. B. The nondepolarizing blockers allow acetylcholine to combine with the Nm receptors to induce depolarization. C. The nondepolarizing blockers combine with, but do not stimulate, the nicotinic-muscle (Nm) receptors. D. The only available nondepolarizing neuromuscular blocking drug available today is succinylcholine.