A patient is taking doxazosin mesylate (Cardura) 1 mg per day to treat hypertension. The nurse notes a blood pressure of 110/72 mm Hg and a heart rate of 92 beats per minute
The nurse will contact the provider to discuss which change to the drug regimen?
a. Changing to a beta-adrenergic blocker
b. Decreasing the drug dose
c. Increasing the drug dose
d. Adding a diuretic
ANS: A
Alpha-adrenergic blockers can cause orthostatic hypotension and reflex tachycardia. Beta blockers do not cause reflex tachycardia. Decreasing or increasing the drug dose is not recommended. Diuretics are added if blood pressure is not well-controlled.
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The nurse is conducting research on violence in the community for a community health assessment. Which socioeconomic factors will the nurse include in the research? Select all that apply
1. Age 2. Race 3. Poverty 4. Inequality 5. Substance use
A nursing student asks why albuterol, which is selective for beta2 receptors, causes an increased heart rate in some patients. How should the nurse respond?
a. "Adrenergic agonists can lose their selec-tivity when given at higher doses." b. "Bronchodilation lowers blood pressure, which causes a reflex tachycardia." c. "Some patients metabolize the drug diffe-rently and have unusual side effects." d. "Systemic effects are intensified with in-haled doses."
The nurse is admitting a new client to the unit. The client is 17 years old and weighs 120 pounds. What is her basal metabolic rate (BMR) using the rule-of-thumb guideline?
A) 600 B) 900 C) 1200 D) 1800
Which nursing action is appropriate in the care of a client with an implanted vascular access device?
A) Cleanse around the site of insertion with an antibacterial solution. B) Clean the external portion of the catheter after infusion is complete. C) Maintain patency by routine flushing with a heparinized solution. D) Observe the site only; only the physician will assess the site.