Larry has heart failure, which is being treated with digoxin because it exhibits:
1. Negative inotropism
2. Positive chronotropism
3. Both 1 and 2
4. Neither 1 nor 2
4
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The nurse is caring for a patient during a post-ictal period. The patient remembers smelling something like dead fish prior to the seizure. Which of the following responses by the nurse is best?
a. "Today is Friday; the hospital always cooks fish on Fridays." b. "You were probably hallucinating; I will ask for an order for an antihallucinatory agent." c. "The smell of dead fish might be your aura; you should call for help immediately if you smell it again." d. "Most people see a flash of light before a seizure; if this occurs, you should get to safety immediately."
A patient with type 1 diabetes mellitus is being discharged home after an episode of diabetic ketoacidosis (DKA). What should the nurse most emphasize in discharge teaching?
A) Insulin therapy may be discontinued after several months. B) The patient needs supplemental insulin even when not eating. C) Blood sugar is best regulated by use of long-lasting insulin preparations. D) Blood sugar can be regulated by diet if the patient is very careful.
A 51-year-old man is receiving his annual physical exam, and his care provider is explaining the rationale for performing a digital rectal exam (DRE). Which of the following statements best captures the rationale for the procedure?
A) DRE, combined with a measurement of prostate-specific antigen (PSA), is the easiest way to confirm or rule out benign prostatic hyperplasia (BPH). B) The presence of an enlarged prostate provides a definitive diagnosis of prostate cancer. C) If the prostate is hardened on examination, a biopsy is indicated for further investigation. D) DRE is a screening test recommended for men who are experiencing either reduced urine flow or pain on urination.
An industrial site has experienced a radiation leak and workers who have been potentially affected are en route to the hospital. To minimize the risks of contaminating the hospital, managers should perform what action?
A) Place all potential victims on reverse isolation. B) Establish a triage outside the hospital. C) Have hospital staff put on personal protective equipment. D) Place hospital staff on abbreviated shifts of no more than 4 hours.