A client with heart failure has been prescribed an angiotensin-converting enzyme (ACE) inhibitor. The nurse would explain that this drug alleviates manifestations of heart failure by
a. decreasing circulating volume.
b. increasing myocardial contractility.
c. increasing vasodilation.
d. slowing atrioventricular conduction time.
C
ACE inhibitors are now considered first-line therapy for heart failure. ACE inhibitors interfere with the production of angiotensin, a potent vasoconstrictor. Diuretics work to decrease circulat-ing volume. Inotropes increase myocardial contractility. Digoxin has as one of its effects slowing the AV conduction time.
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A nurse wants to volunteer in West Africa to assist with the Ebola outbreak. What should the nurse consider before agreeing to relocate to West Africa for 6 months? (Select all that apply.)
1. Locate the nearest embassy 2. Receive recommended immunizations 3. Understand the country's security standards 4. Receive permission from the state board of nursing 5. Know the scope of nursing practice in the host country
A client, who is at risk for pneumonia, has been ordered influenza vaccine. Which statement from the nurse best explains the rationale for this vaccine?
A) "Getting the flu can complicate pneumonia." B) "Influenza vaccine will prevent typical pneumonias." C) "Influenza is the major cause of death in the United States." D) "Viruses, like influenza, are the most common cause of pneumonia."
During preoperative assessment, the patient says, "My surgery must be minor because it's being done on an outpatient basis.". How should the nurse respond?
1. "Every surgical procedure is serious, and I will make sure you have the information you need for a successful recovery.". 2. "You are right.". 3. "If it were more serious, you would be admitted to the hospital.". 4. "Your insurance plan does not cover inpatient surgical procedures. That's why your surgery is being done on an outpatient basis.".
The nurse is caring for a postpartal woman and reviews the following lab results in her medical record: HBsAg-negative, rubella titer less than 1:8/1:10, Rh-negative with Rh-positive infant
Which injections will the nurse expect to be ordered? a. Hepatitis B immune globulin and MMR today b. MMR and Rho(D) immune globulin (RhoGAM) today c. Rho(D) immune globulin (RhoGAM) and hepatitis B immune globulin today d. Rho(D) immune globulin (RhoGAM) today and MMR in 3 months