The patient receives enalapril (Vasotec) as treatment for heart failure. What is the best nursing assessment following the initial administration of this drug?
1. Assess the patient for ototoxicity.
2. Assess the patient's blood pressure.
3. Assess the patient for an irregular pulse.
4. Assess the patient for a serious rash.
2
Rationale 1: Ototoxicity is an adverse effect of loop diuretics.
Rationale 2: Severe hypotension, known as first-dose phenomenon, can occur after the initial administration of enalapril (Vasotec).
Rationale 3 Irregular pulse is an adverse effect of beta blockers.
Rationale 4: Stevens–Johnson syndrome is an adverse effect of beta blockers.
Global Rationale: Severe hypotension, known as first-dose phenomenon, can occur after the initial administration of enalapril (Vasotec). Ototoxicity is an adverse effect of loop diuretics. Stevens–Johnson syndrome is an adverse effect of beta blockers. Irregular pulse is an adverse effect of beta blockers.
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The nurse is answering phone calls at a local suicide prevention hotline. Which statement would be recognized as the greatest risk of suicide?
a. "I just needed to talk to someone to keep myself from thinking silly thoughts about killing myself." b. "My parents aren't home and won't be back for 4 hours. That should be enough time for the pills to work. I've got a hundred of them." c. "My dad will be home first, so he'll find me. So I think I'll use his gun. I hope he didn't lock the cabinet." d. "My girlfriend is here with me. She told me to call because I was talking crazy about killing myself."
When preparing for the final exam in this course, the nursing student is aware that which of the following are considered time-wasting measures? (Select all that apply.)
a. Have the telephone close by to answer. b. Spend study time in a quiet area. c. Gather all the items for studying in one place. d. Delay studying until all other activities are finished. e. Make sure that all notes are perfectly written. f. Delegate home activities to other family members.
A 30-year-old female patient has been referred to a specialist by her primary care provider because she has recently developed fat pads at the base of her neck, an increasingly round face, and striae at various locations
The patient's signs of illness have been attributed to a brain tumor. What type of brain tumor is most likely to result in these changes to the woman's physical appearance? A) Glioma B) Acoustic neuroma C) Meningioma D) Pituitary adenoma
List three assumptions of Hill's original stress model that relate to family-focused care
Fill in the blank with the appropriate word.