A patient with heart failure is prescribed an angiotensin-converting enzyme inhibitor (ACEI). What should the nurse teach the patient about this medication? (Select all that apply.)

a. Prevents remodeling
b. Reduces fluid volume
c. Lowers blood pressure
d. Reduces workload on the heart
e. Decrease pulmonary venous pressure


ANS: A, C, D
ACEIs are considered the first-choice drug over angiotensin receptor blockers (ARBs). They are used for their vasodilation effect, which lowers blood pressure and reduces workload on the heart. They also offer additional benefit by preventing remodeling, which is an effect that leads to progressive cardiac deterioration. B. E. Diuretics reduce fluid volume and decrease pulmonary venous pressure.

Nursing

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The nurse will be caring for a patient who is severely malnourished. Laboratory test results show that the patient's albumin level is critically low. What assessment finding will the nurse expect to note when meeting with the patient?

a. The patient has generalized 3+ pitting edema. b. The patient is confused and disoriented. c. The patient's urine is dark and very concentrated. d. The patient lung sounds are very diminished.

Nursing

A client is in the emergency department after a motor vehicle crash, and the nurse notices a "steering wheel mark" across the client's chest. Which action by the nurse is most appropriate?

a. Ask the client where in the car he or she was during the crash. b. Assess the client by gently palpating the abdomen for tenderness. c. Notify the laboratory to come draw blood for blood type and crossmatch. d. Place the client on the stretcher in reverse Trendelenburg position.

Nursing

All of the following neurotransmitters/neurohormones play a role in mental health except

A. epinephrine. B. dopamine. C. serotonin. D. histamine.

Nursing

The nurse is talking with 6-year-old Jenna at her well-child office visit. Jenna says, "I can't play on teams because I am not as good at doing things as my big sister is."

What suggestion might the nurse make to Jenna's caregiver regarding activities to help Jenna increase her feelings of self-confidence? The nurse might suggest that the caregiver: A) ask Jenna's older siblings to compliment her more often. B) praise Jenna for trying even when she can't complete activities you've chosen for her. C) set up some play dates that include projects or activities in which Jenna can be successful. D) start a rock collection with Jenna to show her that she can have fun doing activities that don't involve other children.

Nursing