What is the priority nursing assessment for a patient who is about to begin digoxin therapy?
A) Blood glucose levels
B) Neurological function
C) Kidney function
D) Liver function
C
Feedback:
Digoxin is primarily excreted unchanged in the urine, so caution should be exercised if renal impairment is present. Blood glucose levels and neurological and liver function would not be a priority assessment related to digoxin therapy.
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George Wilbur, age 73, is a patient recovering from coronary artery bypass surgery. The nurse notices that he seems depressed, and he is continuously asking, "Why is God doing this to me?" The best response by the nurse is
a. Call for a psychiatric consultation to screen Mr. Wilbur for depression b. Ask Mr. Wilbur if he has any specific spiritual needs to be addressed c. Reassure Mr. Wilbur that he did nothing wrong and everything is okay d. Tell Mr. Wilbur that sadness usually occurs after undergoing heart surgery
What should the nurse include in the plan of care for a patient being prepared for electrical cardioversion? Select all that apply
A) Obtain informed consent from the patient. B) Encourage the patient to eat a meal shortly before the procedure. C) Record a 12-lead ECG and vital signs. D) Turn off the synchronizer mode button. E) Smear electrode gel between the two paddles on the chest. F) Sedate the patient.
The union that wins a representative election has which of the following duties and rights?
1. The duty to represent only union members in the bargaining unit. 2. The right to forbid management from unilaterally changing employment conditions for employees outside the bargaining unit. 3. The right to jointly negotiate expanded bargaining units with the employer after the election. 4. The right to be the bargaining agent for a group of employees.
Following an automobile accident where the patient had a traumatic amputation of his lower leg and lost greater than 40% of his blood volume, he is currently not producing any urine output
The nurse bases this phenomena on which of the following humoral substances responsible for causing severe vasoconstriction of the renal vessels? A) Aquaproin-2 channels B) Angiotensin II and ADH C) Renin and potassium ions D) Albumin and norepinephrine