The nurse determines that which of the following patients would not be a candidate for beta-blocker therapy after a STEMI?
a. Patient with systolic blood pressures ranging from 160 to 180
b. Patient with new onset of complete heart block
c. Patient with sinus tachycardia with a heart rate of 110
d. Patient whose echocardiogram demonstrates good left ventricular function
B
Complete heart block is an advanced heart block, and beta blockers are contraindicated.
Beta blockers are especially good for patients with systolic hypertension.
Tachycardias increase cardiac oxygen demand. By preventing beta-receptor activation, beta blockers reduce the heart rate and, consequently, cardiac oxygen demand.
Beta blockers should be used routinely unless significant left ventricular (LV) dysfunction is a factor.
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The characteristic findings associated with herpes simplex lesions on the external genitalia are
a. a reddish, round ulcer with a depressed center and raised, indurated edges. b. raised, round wartlike plaques with a moist surface covered by a gray exudate. c. small, shallow red vesicles that fuse together to form a large, painful ulcer. d. white, dry, painless growths with a narrow base.
The nurse is reviewing a plan of care for a child diagnosed with conduct disorder. When reviewing the care plan, the nurse would expect to see which nursing diagnosis?
A) Personal identity disturbance, related to inability to recognize self as separate being B) Sleep pattern disturbance, related to fears of separation C) Risk for violence, directed at others, related to poor impulse control D) Impaired verbal communication, related to inability to form words or sentences
Your patient begins medication therapy for hypertension. What reason is MOST likely to make your scheduled teaching plan change for this patient?
1. The patient's outlook for his condition changes. 2. The patient writes down some of the information. 3. The patient has no questions after being taught. 4. The patient's condition changes with therapy.
Socrates can be described as (select all that apply):
a. being one of the greatest philosophers of ancient times. b. believing a person should do what is best for him or herself. c. proposing that one must seek knowledge and develop the inner self in order to experience a good life. d. creating the Socratic method. e. believing that knowledge does lead to the "good life."