You are the clinic nurse caring for a patient with a septal defect. Your new patient has just been prescribed medication to help minimize the left-to-right shunting. What class of drugs are often prescribed to help minimize the left-to-right shunting?
A) Vasodilators
B) Diuretics
C) Calcium channel blockers
D) Antihypertensives
Ans: A
Feedback: Vasodilators are often prescribed first, to decrease resistance to ventricular ejection and minimize the left-to-right shunting. Diuretics, calcium channel blockers, and antihypertensives are not drugs of choice for patients with sepal defects.
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A woman is being taken to the operating room later in the day for incision and drainage of a large perineal hematoma. What action by the nurse is most important to meet the patient's psychosocial needs?
A. Administer a preoperative sedative to calm her. B. Allow the woman to make choices when possible. C. Introduce the patient to the nursery staff. D. Reassure the patient that hematomas heal quickly.
The nurse exercises a bedridden client's extremities by using range of motion when providing the bath. This is an example of which type of nursing intervention?
a. Independent c. Dependent b. Interdependent d. Consultation
The daughter of an older adult calls the emergency department (ED) triage nurse and reports that her father hit his head "very hard" while getting into the car about 10 minutes ago. There is no bleeding. The daughter asks what she should watch for in her father. How should the nurse respond?
1. "As long as he does not develop a severe headache he is probably okay. Be sure to bring him to the ED if that happens." 2. "As long as your father does not begin vomiting he is probably not severely injured. If he does begin to vomit, bring him in immediately." 3. "Watch him for the next hour or two. If he seems okay after that he is not likely to have a severe injury. Bring him in to the ED if you are concerned." 4. "In older adults the changes are very subtle and can develop over several hours or even days. Bring him to the ED if you have any concerns."
With which antibacterial drugs is teaching patients to wear protective clothing, hats, and sunscreen, and to avoid tanning beds most important? (Select all that apply.)
a. amoxicillin/clavulanic acid (Augmentin) b. cefdinir (Omnicef) c. clindamycin (Cleocin) d. erythromycin (E-mycin) e. lomefloxacin (Maxaquin) f. tetracycline (Tetracon) g. trimethoprim/sulfamethoxazole (Bactrim)