A patient is admitted to the coronary care unit from the emergency department after initial management of STEMI. A primary percutaneous coronary intervention has been performed
The nurse notes an initial heart rate of 56 beats per minute and a blood pressure of 120/80 mm Hg. The patient has a history of stroke and a previous myocardial infarction. Which order will the nurse question? a. Aspirin
b. Beta blocker
c. Clopidogrel
d. Heparin
B
A beta blocker would be contraindicated in this patient, because it slows the heart, and this pa-tient is already bradycardic. Aspirin, clopidogrel, and heparin are recommended in patients who have had a primary PCI.
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A nurse asks the mother of a 4-month-old to undress the infant. The nurse observes the mother taking off several layers of clothing, knowing that the outdoor temperature is 70°F. Which of these statements should the nurse make to the mother?
1. "My, you are dressing your infant warmly today." 2. "Did you think it was it cold when you left your home this morning?" 3. "I see that you have many layers of clothing on your baby. This could cause your baby's temperature to rise." 4. "When you leave the office, only put one layer of clothing on your baby."
When the LPN is working in home care, the direction and instructions for care come directly from
a. The physician b. The secretary at the agency who makes out the assignments c. The registered nurse (RN) case manager d. The family and patient
The official agency that exists exclusively for LPN/LVN membership and promotes standards for the LPN/LVN is the:
a. NFLPN. b. ANA. c. NLN. d. NAPNES.
What is the research assumption?
a. This study was undertaken to explore the effect of massage on total hours of sleep per 24-hour day, in persons averaging fewer than 7 hours of sleep per night, attributable to insomnia. b. It was posited that provision of daily late-morning massage would affect total hours of sleep per 24-hour day. c. It was taken as established fact that massage is pleasant, that research subjects getting fewer than 7 hours of sleep per night were sleep-deprived, and that endorphins mediated the changes observed. d. Presumably by increasing endorphin levels, massage seems to provide an immediate relaxation and an ability to sleep immediately following the session, but it is unclear whether these benefits actually extend to total sleep, despite anecdotal support. The claim that massage increases total hours of sleep has been inadequately researched.