A patient who has been prescribed acebutolol (Sectral) develops a heart rate of 48 beats/min, dizziness, difficulty breathing, and bluish fingernails. What is your best first action?
a. Instruct the patient to take several slow deep breaths.
b. Place the patient in high Fowler's position.
c. Hold the drug and notify the prescriber.
d. Apply oxygen by mask or nasal cannula.
ANS: D
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To assist the nurse in evaluating the patient's hydration status, assessment would include
a. orthostatic hypotension and neck vein filling. b. pupil checks and Kernig sign. c. Chvostek and Trousseau signs. d. S4 gallop and edema.
The nurse is calculating the rate of energy use in a client's body that is needed to maintain essential activities. This calculation is:
a. baseline values. b. basal metabolic rate. c. hemodynamic regulation. d. thermoregulation.
When given an intravenous medication, the patient says to the nurse, "I usually take pills. Why does this medication have to be given in the arm?" What is the nurse's best answer?
a. "The medication will cause fewer adverse effects when given intravenously." b. "The intravenous medication will have delayed absorption into the body's tissues." c. "The action of the medication will begin sooner when given intravenously." d. "There is a lower chance of allergic reactions when drugs are given intravenously."
A client prescribed spironolactone (Aldactone) asks the nurse which fluids they should drink to prevent dehydration. Which response should the nurse provide?
A. "Citrus juices are very good for rehydration." B. "Any kind of fluid is okay, but avoid alcohol." C. "Plain water is really the best." D. "Electrolyte-replacement drinks like sports drinks."