The nurse is preparing to administer a beta2 antagonist and understands that this medication is most likely indicated for which of the following patients?
a. The patient in preterm labor
b. The patient with a blood glucose level of 58
c. The patient with an exacerbation of asthma
d. The patient with a sustained heart rate of 121/minute
D
A beta2 antagonist would be appropriate for a patient with a sustained heart rate of 121/minute, because the effects of the drug would result in a decrease in the workload on the heart and a re-duction in the heart rate.
A beta2 agonist is indicated for preterm labor, not an antagonist. An antagonist would relax the uterus, possibly resulting in delivery of a preterm infant.
A beta2 antagonist would result in inhibition of glycogenolysis, which would help raise the low blood glucose and thus would be contraindicated for this patient.
A beta2 antagonist is contraindicated in a patient with an exacerbation of asthma.
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A breech presentation is associated with:
a. Umbilical cord compression. b. More rapid labor. c. A high risk of infection. d. Maternal perineal trauma.
What should be the goal of a client with the nursing diagnosis "Imbalanced nutrition: Less than body requirements" (related to diet choices inadequate to meet the nutrient requirements of pregnancy)?
a. Gain a total of 30 lb. b. Decrease intake of snack foods. c. Take daily supplements consistently. d. Increase intake of complex carbohydrates.
The nurse is caring for a young female patient whose laboratory values indicate the presence of microcytic and hypochromic red blood cells. What should the nurse do to help this patient?
1. Enforce "nothing by mouth" in anticipation of emergency surgery. 2. Insert an intravenous access line for fluids. 3. Consult with the dietitian for a diet high in iron. 4. Assess the past history for risks of bleeding or menstrual changes.
Elderly clients are at risk for not getting prescriptions filled largely because:
a. they are not convinced that they need the medication. b. they "feel fine" without taking more medications. c. they fear that after purchasing medications, they may not be able to tolerate them. d. they forget to do so.