The nurse is caring for a patient experiencing shock who is taking Atenolol (Tenormin). Which of the following symptoms of shock would be expected to be present in this patient? (Select all that apply.)
a. Pulse 115 beats per minute
b. Respirations 28 per minute
c. Blood pressure 88/48 mm Hg
d. Capillary refill greater than 3 seconds
ANS: A
B. The sympathetic nervous system is activated in shock so respirations increase. C. Blood pressure drops in shock. D. Prolonged capillary refill is expected in shock due to decreased blood pressure and vasoconstriction from sympathetic nervous system response. A. Tachycardia will not be present as expected with sympathetic nervous system activation. Beta blockers block the response of the sympathetic nervous system, which is activated in shock.
You might also like to view...
A 91-year-old patient is being discharged on the diuretic spironolactone (Aldactone). What is the major adverse effect of this type of medication?
A) Hypokalemia B) Hyperkalemia C) Gastric irritation D) Hypertension
The nurse is taking care of a male client who comes to the health clinic for a wellness check
During the routine physical exam by the nurse, the assessment findings are as follows: The blood pressure is 148/88, heart rate is 92, waist circumference is 120 cm, weight is 80 kilograms, lungs clear. The lab results are: HDL 32mg/dL; glucose of 120 mg/dL. Which of the following is the priority teaching point for this client? 1. Advise the client to begin an exercise and weight-loss program because the client is at higher risk for development of cardiovascular disease. 2. Advise the client to continue with current practices because the client is experiencing no health problems. 3. Advise the client that there is a high risk for cardiovascular disease, but there is nothing that can be done until signs and symptoms of cardiovascular disease develop. 4. Advise the client to not smoke because tobacco is associated with cardiovascular disease.
A client has just been scheduled for endoscopic retrograde cholangiopancreatography (ERCP). What should the nurse tell the client about the procedure?
A. That informed consent is required B. That the test takes about 4 hours to complete C. That no premedication for sedation will be necessary D. That food and fluids will be withheld before the procedure E. That multiple position changes may be necessary to pass the tube
How many kilocalories per kilogram (kcal/kg) of body weight does a breastfed term infant require each day?
a. 50 to 75 b. 85 to 100 c. 100 to 110 d. 150 to 200