A patient who has suffered a hemorrhagic stroke is placed on a protocol of 60 mg nimodipine (calcium channel blocker) every 4 hours. The patient's pulse is 82 prior to the administration of the prescribed dose. The nurse should:
1. give the full dose as prescribed, without further assessment.
2. omit the dose, recording the pulse rate as the rationale.
3. delay the dose until the pulse is below 60.
4. give half of the prescribed dose (30 mg).
1
The dose should be given; it would be held only if the pulse is below 60. Assessments should be made regarding BP, urine output, and edema.
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A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit. She asks the nurse, "How many drinks a day is safe for my baby?" The nurse's best response is:
a. "You should limit your drinking to once or twice a week." b. "It's okay to have up to two glasses of wine a day." c. "As long as you avoid getting drunk, you should be safe." d. "No amount of alcohol has been determined to be safe during pregnancy."
A pediatrician is teaching a group of medical students about some of the particularities of heart failure in children as compared with older adults. Which of the physician's following statements best captures an aspect of these differences?
A) "You'll find that in pediatric patients, pulmonary edema is more often interstitial rather than alveolar, so you often won't hear crackles." B) "Because of their higher relative blood volume, jugular venous distention is a better assessment technique for suspected heart failure in young patients." C) "Signs and symptoms in children may sometimes mimic those of shock, with a low blood pressure and high heart rate." D) "Fever is a sign of heart failure in children that you are unlikely to see in older adults."
The licensed practical nurse is setting up the room for a client arriving at the emergency department with ventricular arrhythmias. The nurse is most correct to place which of the following in the room for treatment?
A) A suction machine B) A defibrillator C) Cardioversion equipment D) An ECG machine
A nurse caring for a patient with diabetes insipidus is reviewing laboratory results. What is an expected urinalysis finding?
A) Glucose in the urine B) Albumin in the urine C) Highly dilute urine D) Leukocytes in the urine