A patient with volume overload begins taking a thiazide diuretic. The nurse will tell the patient to expect which outcome when taking this drug?
a. Improved exercise tolerance
b. Increased cardiac output
c. Prevention of cardiac remodeling
d. Prolonged survival
A
Diuretics help reduce fluid volume overload, which, by reducing pulmonary edema, can improve exercise tolerance. Diuretics do not improve cardiac output. ACE inhibitors are used to prevent cardiac remodeling and to improve long-term survival.
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An emergency department nurse plans care for a client who is admitted with heat stroke. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Administer oxygen via mask or nasal cannula. b. Administer ibuprofen, an antipyretic medication. c. Apply cooling techniques until core body temperature is less than 101 ° F. d. Infuse 0.9% sodium chloride via a large-bore intravenous cannula. e. Obtain baseline serum electrolytes and cardiac enzymes.
From collected data the nurse determines that a client is at risk for hypertension. Which is the most significant risk factor that the nurse assessed in this client?
1. The client only exercises three times per week and is 15 pounds overweight. 2. The client smokes two packs of cigarettes per day and is obese. 3. The client is a manager at Microsoft. 4. The client's maternal grandmother died of complications related to malignant hypertension.
To assess a 14-year-old girl for scoliosis, the nurse asks her to:
A) Bend forward at the waist with the arms hanging and relaxed. B) Stand straight and twist to the right, then the left. C) Flatten her back against the wall. D) All of the above.
In the various types of outpatient mental health care programs listed below, which provides the most intensive nursing care?
A) Partial hospitalization programs B) Crisis intervention programs C) Outpatient detoxification programs D) Rehabilitation programs