When an adrenergic drug stimulates beta1-adrenergic receptors, the result is an increased force of contraction, which is known as what type of effect?
a. Positive inotropic
b. Anti-adrenergic
c. Negative dromotropic
d. Positive chronotropic
ANS: A
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The nurse is caring for a patient that is actively trying to conceive a child but continues to drink alcohol. The patient states that she'll stop drinking once she is pregnant. What is the most appropriate response by the nurse?
a. "Abstaining is best since most fetal development occurs before you realize you are pregnant." b. "Small amounts of alcohol are safe at any time during pregnancy." c. "Things will be okay if you quit drinking alcohol once you know you are pregnant." d. "Alcohol use should be avoided early in pregnancy but is acceptable past week 20."
A patient with acute mania has exhausted staff by noon after joking, manipulating, and insulting all morning. Staff members feel defensive and fatigued. Select the best action
a. Call the health care provider to evaluate the patient. b. Hold a staff meeting to discuss consistency and limit-setting approaches. c. Seclude the patient, and then call the health care provider to write an order. d. Explain to the patient that the behavior is unacceptable. Ask the patient to be more cooperative.
A client's family insists that the client live with one of the family members permanently because of a shuffling gait, but the client refuses. Which approach is most effective to provide a safe en-vironment while also acting as a client advocate?
a. Teach the client to wear shoes with thin, firm soles. b. Explain community services for older clients. c. Help the client check the fit of his sneak-ers. d. Tell the client that he can do whatever he wants.
A nurse is caring for a 12-year-old client who has had multiple seizure attacks since she was 5 years of age. Which of the following measures should the nurse employ when the client is having a seizure?
A) Put something in the mouth to keep it open. B) Observe for a flushing of the skin. C) Elevate the head of the bed to 45 degrees. D) Place a soft pad beneath the client's head.