Select the primary reason why the use of ketamine would be contraindicated in patients with a history of hypertension.
A. Ketamine stimulates the sympathetic nervous system, leading to elevated blood pressure and heart rate during the anesthesia.
B. Ketamine activates the alpha2 adrenergic receptors in the CNS and inhibits sympathetic activity, resulting in increased blood pressure and heart rate.
C. Ketamine competitively inhibits the activity at the benzodiazepine recognition site on the GABA receptor, leading to elevated blood pressure and heart rate.
D. None of these are correct.
Answer: A
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The nurse is reviewing the lipid panel of a male client who has atherosclerosis. Which finding is most concerning?
a. Cholesterol: 126 mg/dL b. High-density lipoprotein cholesterol (HDL-C): 48 mg/dL c. Low-density lipoprotein cholesterol (LDL-C): 122 mg/dL d. Triglycerides: 198 mg/dL
The IOM identified five Core Competencies for health professionals. As the RN you identify and plan to develop all of the following identified competencies EXCEPT:
A) Implement quality and safety initiatives B) Employ evidence-based practice C) Work in interdisciplinary teams D) Utilize informatics
Which of the following is included in the duty of a nurse in achieving the goals of healthcare?
A) Communicating with clients various choices to make about healthcare B) Helping the client and family members to live a life free of mental and physical illnesses C) Giving information about precautions for various diseases D) Visiting clients regularly after they have been discharged from the hospital
The physician orders pentoxifylline (Trental) for the patient with peripheral vascular disease. The nurse has completed medication education and determines that learning has occurred when the patient makes which statement(s)?
1. "It makes my red blood cells (RBCs) squishy so they can go into the little blood vessels." 2. "It decreases my platelets so my blood is less likely to clot." 3. "It decreases the "stickiness" of my blood." 4. "It changes how my liver makes clotting factors." 5. "It destroys clotting factors."