A nurse is caring for a patient who is taking antihypertensive therapy. The patient reports fatigue and has a pulse of 54 beats/min. Which medication administered is most likely the cause of these symptoms?

a. Diltiazem (Cardizem)
b. Furosemide (Lasix)
c. Hydrochlorothiazide (HydroDIURIL)
d. Methyldopa (Aldomet)


A
Calcium channel blockers such as diltiazem and verapamil can cause bradycardia because con-duction is slowed in the heart. These drugs also reduce stroke volume and cardiac output, which may result in fatigue.

Nursing

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The procedure for collecting a sterile urine specimen via a catheter port includes clamping the Foley catheter tubing below the catheter port for:

a. 5 minutes. b. 10 minutes. c. 20 minutes. d. 30 minutes.

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While working at the triage desk in the local emergency department, which of the following patients is likely having a medical emergency and needs to be seen first?

A) A 17-year-old high school student who has a red, itchy eye B) A 55-year-old truck driver complaining of sudden onset of ocular pain and blurred vision C) A 45-year-old school teacher complaining of a red eye that is draining yellow secretions D) An infant with red eyes who is irritable and refusing to eat

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The nurse caring for a client with meningitis knows that signs and symptoms of meningitis usually appear abruptly. Which of the following are signs of this condition? Select all answers that apply

A) Impaired bladder function B) Photophobia C) Nuchal rigidity D) Loss of sensation E) Change in LOC F) Opisthotonos

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Digoxin therapy results in:

A. Stimulation of Na+-K+ ATPase activity B. Ca2+ influx through sodium-calcium exchangers (NCX) C. Inhibits Ca2+ ATPase activity D. Stimulation of Ca2+ cycling in sarcoplasmic reticulum (SR) E. Ca2+ influx through L-type Ca2+ channels

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