The nurse explains that factors that affect stroke volume are (select all that apply):
1. contractility.
2. climate.
3. age.
4. preload.
5. afterload.
1, 4, 5
Stroke volume is dependent on contractility, preload, and afterload. Age may affect all three, but the stroke volume, regardless of age, is dependent on these three factors.
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A client is receiving norepinephrine (Levophed) for shock. What assessment finding best indicates a therapeutic effect from this drug?
a. Alert and oriented, answering questions b. Client denial of chest pain or chest pressure c. IV site without redness or swelling d. Urine output of 30 mL/hr for 2 hours
A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman?
A) "It's good to measure your heart rate before you take your Detrol each day, and withhold it if your heart rate is below 60 beats/minute." B) "You'll probably need to stop taking your hormone replacement therapy when you're taking Detrol." C) "You'll likely find that you have scant amounts of blood in your urine for the first few days, but this is not unusual or problematic." D) "You might find that you get a dry mouth or a headache from this drug, but this does not mean it has to be discontinued."
The nurse is administering an intravenous infusion of amiodarone (Cordarone). What should the nurse be aware of?
A) The possible drug–drug interaction with nonsteroidal anti-inflammatory drugs (NSAIDs) B) The possible development of very serious cardiac arrhythmias C) The possible development of peripheral edema D) The possible development of a fatal renal toxicity
A tearful, anxious client comes to the clinic with the chief complaint "I should be dead.". The initial
task of the nurse conducting the assessment interview is to a. assess lethality of suicide plan. b. establish rapport with the client. c. encourage expression of anger. d. determine risk factors for suicide.