Which pulse rate finding in a client taking a drug that stimulates beta1 receptors requires immediate action by the nurse?
a. 50 beats/min
b. 95 beats/min
c. 85 beats/min
d. 100 beats/min
A
Stimulation of beta1 receptor sites in the heart has positive chronotropic and inotropic actions. The nurse expects an increase in heart rate and increased cardiac output. The client with a heart rate of 50 beats/min would be cause for concern because this would indicate that the client was not responding to the medication. The other heart rates are within normal limits but on the higher end and would be considered a therapeutic response to the medication.
You might also like to view...
A patient with chronic renal failure is prescribed filgrastim (Neupogen). What is the effect of filgrastim (Neupogen)?
A) Decreases neutropenia related to chemotherapy B) Decreases white blood cells related to infection C) Decreases growth of blood vessels due to ischemia D) Decreases platelet count related to bleeding
If you find a patient who does not speak your language quietly crying in his bed, the first thing you should do is to
A) find an interpreter. B) notify your supervisor. C) gently touch his shoulder. D) ask him why he is crying.
A case of severe acute respiratory syndrome (SARS) was diagnosed immediately on signs of illness at a tourist site in China. Which of the following actions should be taken to protect the badly needed income from tourist dollars?
a. Close the airports and refuse to let the tourists in the area leave b. Begin to immunize everyone in the immediate area with protective vaccine as soon as possible c. Quarantine the ill person and use isolation techniques when providing care d. Screen everyone in the area by requiring a blood and urine sample
A nurse preceptor wants to determine if a new graduate understands the concept of telenursing
Which of the following definitions given by the new graduate would indicate to the preceptor that the new graduate has some understanding of telenursing? "Telenursing is best defined as a. the use of the telephone to transmit the nursing report." b. the use of technology, both audio and audiovisual, to conduct nursing practice." c. nursing courses offered in a distance learning format via the Internet." d. the concept of passing gossip within a health care facility, with one nurse telling another about policy changes."