A patient with moderate heart failure 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
ANS: 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.
You might also like to view...
On admission, a patient presents as follows: pH, 7.38; respiratory rate, 24 breaths/min, regular, pursed-lip breathing; PaO2, 66 mm Hg; heart rate, 112 beats/min, sinus tachycardia;
PaCO2, 52 mm Hg; blood pressure, 110/68 mm Hg; HCO3, 34 mEq/L; and SpO2, 90% on O2 2 L/min nasal cannula. These gases show a. uncompensated metabolic alkalosis. b. uncompensated respiratory acidosis. c. compensated respiratory acidosis. d. compensated respiratory alkalosis.
One of the supervisors for a home health agency asks the nurse to give a family of a child with a chronic illness a survey evaluating the nurses and other service providers. How should the nurse recognize this request?
a. Appropriate to improve quality of care b. Improper because it is an invasion of privacy c. Inappropriate unless nurses and other providers agree to participate d. Not acceptable because the family lacks remembering necessary to evaluate professionals
Which point should the nurse include when instructing a client in the use of a budesonide (Rhinocort) nasal preparation?
1. "Use this preparation before your nasal decongestant." 2. "Avoid the use of ultrasonic humidifiers with this preparation." 3. "You should see improvement in your symptoms in about a week." 4. "You could experience nosebleeds."
Which scholar described the term "applied clinical practice" when exploring organizational processes?
a. Gruenfeld b. Zaleznik c. Kats de Vries d. Hirschhorn