The nurse is caring for a 3-year-old awaiting a heart transplant who requires an antiarrhythmic agent to control a supraventricular arrhythmia. What drug, if ordered, would the nurse question?
A) Digoxin
B) Propranolol
C) Procainamide
D) Verapamil
D
Feedback:
Verapamil should be avoided in children and, if ordered, would require the nurse to question the drug. Adenosine, propranolol, procainamide, and digoxin have been successfully used to treat supraventricular arrhythmias, with propranolol and digoxin being the drugs of choice for long-term management.
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The nurse is working with a child newly enrolled in an English as a Second Language class. The nurse wants to teach the child about the importance of hand washing before meals and to not eat food dropped on the exam room floor
The best way to evaluate the child's understanding of hygienic nutrition is to: 1. Have the child repeat his interpretation of the information that was taught. 2. Schedule a medical interpreter to accompany the patient to his next visit. 3. Provide written materials in English about hygiene and diet for the client to take home. 4. Have the nurse model proper hand washing before examining the child, and throw out the dropped cookie.
A client is in the family practice clinic reporting a severe cough that has lasted for 5 weeks. The client is so exhausted after coughing that work has become impossible. What action by the nurse is most appropriate?
a. Arrange for immediate hospitalization. b. Facilitate polymerase chain reaction testing. c. Have the client produce a sputum sample. d. Obtain two sets of blood cultures.
Which of the following best defines a tethered PHR?
1. A tethered PHR is inextricably linked to a single entity or health system. 2. A tethered system is a stand alone system. 3. A tethered system can be found on a thumb drive. 4. A tethered system cannot access a patient portal.
A patient with Parkinson's disease informs the nurse that the stiffness and slowness of move-ments associated with the illness have become worse. What does the nurse teach the patient about this change?
a. "These changes are normal and expected as your disease progresses." b. "You will need to use a walker at all times to avoid falls and accidents." c. "Whenever your symptoms worsen, contact your prescriber right away." d. "If your prescriber increases your drug dosage these functions will improve."