Which of the following cardiac rhythm abnormalities would lead a health care provider to ques-tion an order for digoxin?
a. Atrial tachycardia
b. Atrioventricular (AV) block
c. Atrial fibrillation
d. Sinus tachycardia
ANS: B
Contraindications to digoxin use include hypersensitivity to it, uncontrolled ventricular arrhyth-mias, AV block, idiopathic hypertrophic subaortic stenosis (IHSS), constrictive pericarditis, and known alcohol intolerance.
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The nurse is instructing a client with obstructive pulmonary disease in pursed-lip breathing. This type of breathing will provide which of the following for the client?
1. It encourages the client to take slow, deep breaths instead of rapid, shallow breaths. 2. It delivers a volume of air under pressure. 3. It prevents collapse of the smaller airways. 4. It encourages deep breathing.
The nurse assesses a client who has Guillain-Barré syndrome. Which clinical manifestation does the nurse expect to find in this client?
a. Ophthalmoplegia and diplopia b. Progressive weakness without sensory involvement c. Progressive, ascending weakness and pa-resthesia d. Weakness of the face, jaw, and sternoc-leidomastoid muscles
A terminally ill patient nearing end of life is dehydrated and complains of being thirsty. What can the nurse do to make the patient more comfortable?
1. Provide oral care every 2 hours. 2. Increase intravenous fluids. 3. Raise the head of the bed. 4. Begin enteral feedings.
A patient is prescribed to begin highly active antiretroviral therapy (HAART). What is the most important question the nurse asks this patient before beginning therapy?
a. "Do you have any symptoms now of active infection?" b. "Is there any possibility that you are pregnant?" c. "Are you currently sexually active?" d. "What other drugs do you take?"