A patient is admitted for a severe headache and is found to have a blood pressure of 185/115 mm Hg. The nurse would prepare to manage administration of which drug most likely to be prescribed?
1. Clonodine
2. Oral furosemide
3. Nitroprusside
4. Captopril
Answer: 3
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A patient has hypertension and wants to take a nasal decongestant for cold symptoms. Which of the following statements by the nurse best describes the effect of decongestants on blood pressure?
A) "The administration of a nasal decongestant will increase blood pressure due to vasoconstriction of blood vessels." B) "The administration of a nasal decongestant will cause bradycardia and increase peripheral blood pressure." C) "The administration of a nasal decongestant will decrease the thyroid production and increase blood pressure." D) "The administration of nasal decongestant will act on the central nervous system to cause vasodilation of blood vessels."
When safely transporting a client in a wheelchair, the nurse should:
a. raise the footplates before transferring the client into the wheelchair. b. push the client face-forward ahead of the nurse into the elevator. c. position the client as far forward as possible on the seat of the chair. d. position the chair ahead of the nurse when going down a ramp.
The nurse is assessing clients in the postanesthesia care unit (PACU). A client is shivering and has a temperature of 95.4° F (35.2° C). What is the nurse's best action?
a. Get the client warm blankets. b. Elevate the head of the bed. c. Auscultate the client's lungs. d. Assess the client's oxygen saturation.
To perform a deep tendon reflex measurement, you should:
a. briskly tap the tendon with the rubber end of the hammer. b. place the hammer firmly on the tendon for 3 to 5 seconds. c. tap the silver end of the hammer on the tendon. d. use the needle implement to determine sensory perception.