A nurse has poured a hospital patient's scheduled dose of hydrochlorothiazide (HCTZ). The nurse should know that this drug reduces preload by which of the following means?

A) Exerting a direct relaxant effect on the vascular smooth muscle
B) Increasing renal excretion of sodium and water
C) Increasing the contractility of myocardial fibers
D) Stimulating the SA node to fire more frequently


B
Feedback:
Hydrochlorothiazide inhibits the reabsorption of sodium and chloride in the distal renal tubule, increasing the excretion of sodium and water by the kidneys. Thiazide diuretics do not relax smooth muscle, increase contractility, or stimulate the SA node.

Nursing

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A nurse working with a patient with a Novacor ventricular assist device (VAD) for long-term circulatory support recognizes that this patient is at risk for thromboembolic events. Which of the following is the best intervention for this patient?

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Behaviors of an effective leader include:

A. Obstructing the exchange of information. B. Being unable to communicate effectively. C. Giving only negative feedback. D. Developing oneself and others.

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The nurse is assessing a pregnant patient who is older than 35 years. Which pregnancy conditions is the patient at an increased risk for developing? Select all that apply

1) Gestational diabetes 2) Pregnancy-induced hypertension 3) Placental abruption 4) Placenta previa 5) Intrapartal fetal distress

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The nurse has been teaching a client about herbal preparations and determines that additional teaching is required when the client makes which statement?

A. "I should check with you before using an herbal product." B. "Herbal products usually contain only one active ingredient." C. "I need to be careful about where I store my herbal product." D. "Herbal preparations are available in solid and liquid forms."

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