The patient comes to the emergency department with a blood pressure of 200/120 mmHg. The physician orders hydralazine (Apresoline) IV. What will the nurse's priority assessment include?
1. Hypotension and bradycardia
2. Hypotension and hyperthermia
3. Hypotension and tachycardia
4. Hypotension and tachypnea
3
Rationale 1: Direct vasodilators do not produce bradycardia.
Rationale 2: Direct vasodilators do not affect body temperature.
Rationale 3: Direct vasodilators produce reflex tachycardia, a compensatory response to the sudden decrease in blood pressure caused by the drug.
Rationale 4: Direct vasodilators do not affect respiratory rate.
Global Rationale: Direct vasodilators produce reflex tachycardia, a compensatory response to the sudden decrease in blood pressure caused by the drug. Direct vasodilators produce hypotension and tachycardia, not bradycardia. Direct vasodilators do not affect body temperature. Direct vasodilators do not affect respiratory rate.
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A. Excess bile salts B. Elevated fecal fat level C. Increased MCV and MCH D. Increased serum cholesterol levels
The nurse asks specific questions about alcohol consumption when collecting data about a patient's hematologic system. What rationale would the nurse offer for these questions?
1. Excessive alcohol intake accelerates phagocytosis. 2. People who consume excessive amounts of alcohol often have vitamin deficiencies. 3. People who drink alcohol do not clot as well as those who do not. 4. Moderate alcohol consumption can help to accelerate erythrocyte formation.
The Weber test is used to differentiate sound heard by AC and sound heard by BC
A) True B) False
The client asks the nurse how glaucoma develops. What is the best response by the nurse?
1. "Having diabetes is a risk factor in the development of glaucoma." 2. "Glaucoma exists when the pressure in your eye is high enough to cause optic nerve damage." 3. "High blood pressure can certainly lead to the development of glaucoma." 4. "Having blue eyes is a risk factor in the development of glaucoma." 5. "Drugs like antihistamines and antidepressants can contribute to glaucoma."