The nurse is reviewing the role of atrial natriuretic peptide (ANP) in blood pressure regulation for a patient with hypertension. What should the nurse include in this discussion? (Select all that apply.)
a. It decreases blood volume.
b. It increases cardiac output.
c. It inhibits aldosterone secretion.
d. It causes an increase in the baseline heart rate.
e. It causes vasoconstriction throughout the body.
f. It increases renal secretion of sodium ions and water.
ANS: A, C, F
ANP increases the excretion of sodium by the kidneys by inhibiting secretion of aldosterone by the adrenal cortex. The loss of sodium is accompanied by the loss of more water in urine, which decreases blood volume and therefore blood pressure as well. B. D. E. These are not actions of atrial natriuretic peptide.
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A patient has returned from the operating room after having a permanent pacemaker implantation. What potential complication should the nurse assess for most closely in a postoperative patient immediately following permanent pacemaker implantation?
A) Decreased urinary output B) Bleeding at the implantation site C) Decreased respiratory rate D) Deep venous thrombosis (DVT)
The nurse should expect to observe which findings in a patient during the incubation period of a viral infection?
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