Which medication may be administered to the patient with hypertensive crisis?

a. Digitalis c. Verapamil
b. Vasopressin d. Sodium nitroprusside


D
Sodium nitroprusside is frequently the first drug used to lower blood pressure in hypertensive emergency. Sodium nitroprusside is useful because of its half-life of seconds. It is not suitable for long-term use because of development of a metabolite that causes cyanide-like toxicity. Short-acting beta-blockers that are effective are labetalol and esmolol. Beta-blockers are especially effective if aortic dissection is present. Digoxin is frequently prescribed for atrial fibrillation.

Nursing

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During the termination phase, which of the following occurs?

A) Encouraging independence in getting along with others B) Planning of outcomes and goals C) Evaluating the effectiveness of changes D) Building trust and establishing roles

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When converting a ratio to a decimal, the decimal is ____________ and the % symbol is added

A. divided by 10 B. multiplied by 10 C. multiplied by 100 D. divided by 100

Nursing

What visible skin change of the breast does she have?

A 56-year-old female comes to your clinic, complaining of her left breast looking unusual. She says that for 2 months the angle of the nipple has changed direction. She does not do self-examinations, so she doesn't know if she has a lump. She has no history of weight loss, weight gain, fever, or night sweats. Her past medical history is significant for high blood pressure. She smokes two packs of cigarettes a day and has three to four drinks per weekend night. Her paternal aunt died of breast cancer in her forties. Her mother is healthy but her father died of prostate cancer. On examination you find a middle-aged woman appearing older than her stated age. Inspection of her left breast reveals a flattened nipple deviating toward the lateral side. On palpation the nipple feels thickened. Lateral to the areola you palpate a nontender 4-cm mass. The axilla contains several fixed nodes. The right breast and axilla examinations are unremarkable. A) Nipple retraction B) Paget's disease C) Peau d'orange sign

Nursing

What should the nurse include when teaching a client about insulin?

Standard Text: Select all that apply. 1. Rotate injection sites. 2. Recognize the signs of hypoglycemia. 3. Store insulin in the freezer. 4. Carry a readily available supply of sugar. 5. Wear a medic alert bracelet that explains the client has diabetes.

Nursing