The nurse is reviewing the medications prescribed for a client diagnosed with dilated cardiomyopathy. Which of the following medications are commonly prescribed for this disease process? (Select all that apply.)
1. ACE Inhibitor
2. Beta-blocker
3. Diuretic
4. Anticoagulant
5. Antiarrhythmic
6. Antibiotic
1, 2, 3, 4, 5
Pharmacological management of dilated cardiomyopathy includes ACE inhibitor to prevent further dilation of the heart, beta-blocker to reduce the strain that heart failure produces on the heart muscle, diuretics to decrease the amount of circulating fluid, anticoagulants to decrease blood clots, and antiarrhythmics to maintain the normal electrical stimulation of the heart. Antibiotics are not routinely prescribed for a client diagnosed with dilated cardiomyopathy.
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Therapeutic range for Apsparaginase/Elspar
a. 6,000 International Units/m² intramuscularly (IM) or intravenously (IV) three times a week. b. 10,000 International Units/m² intramuscularly (IM) or intravenously (IV) three times a week. c. 6,000 International Units/m² intramuscularly (IM) or intravenously (IV) five times a week d. 10,000 International Units/m² intramuscularly (IM) or intravenously (IV) five times a week. e. 2,000 International Units/m² intramuscularly (IM) or intravenously (IV) four times a week.
The client says to the nurse, "I really want to see my first grandchild born before I die. Is that too much to ask?" The nurse recognizes that the client is in which stage of grieving, according to Kubler-Ross?
A) Acceptance B) Anger C) Bargaining D) Depression
A patient is brought to the emergency department for a superficial stab wound to the forearm. Sutures are required, and a prescriber orders a local anesthetic with epinephrine
The nurse understands that the rationale for the use of epinephrine with a local anesthetic is to cause which of the following effects? a. Reduce anesthetic-induced nausea. b. Prolong anesthetic absorption. c. Reduce the pain of an injection. d. Prevent hypertension induced by the anesthetic.
A professor has taught a student about skeletal alterations seen in chronic kidney disease. Which statement by the student indicates the professor needs to give more information?
a. Parathyroid hormone is no longer effective in maintaining serum phosphate levels. b. The parathyroid gland is no longer able to secrete sufficient parathyroid hormone. c. The synthesis of 1,25-vitamin D3, which reduces intestinal absorption of calcium, is impaired. d. The effectiveness of calcium and phosphate resorption from bone is impaired.