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Ms. Cruz, 45-year-old vendor is diagnosed with hypertension, and her attending
physician prescribes clonidine to be given sublingual as necessary for BP
160/90 mm Hg and above. The patient is concerned about this drug on how
it is given as instructed above. She states, “How will this medication help
control my blood pressure?”
- How should you (as a nurse) respond to the question of Ms. Cruz?
- What information would you (as a nurse) need to include when doing health
education about this drug?
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- BW, 45-year-old vendor is diagnosed with hypertension, and her attending physician prescribes clonidine to be given sublingual as necessary for BP 160/90 mm Hg and above. The patient is concerned about this drug on how it is given as instructed above. She states, “How will this medication help control my blood pressure?” 1. How should you (as a nurse) respond to the question of Ms. BW? 2. What information would you (as a nurse) need to include when doing health education about this drug?Mr. Reyes was admitted from the emergency department after receiving treatment for dysrhythmias and will be started on amiodarone (Cordarone, Pacerone) because of lack of therapeutic effects from his other antidysrhythmic therapy. When the nurse checks with him in the afternoon, he complains of feeling light-headed and dizzy. What will the nurse assess first? a.Whether the client’s pulse and blood pressure are within normal limits b.Whether there is the possibility of sleep deprivation from the stress of admission to the hospitalc.Whether the amiodarone level is not yet therapeutic enough to treat the dysrhythmias d. Whether an allergic reaction is occurring with anticholinergic-like symptomsWhy letter a is the right answer and why not the other options are considered to be wrong. Explain eachNurse Martinez is tending to Mr. Rodriguez, a 67-year-old patient with atrial fibrillation. He has been on digoxin (Lanoxin) 0.25 mg daily to control his heart rate. His cardiologist, aware of his medication regimen, has added metoprolol (Lopressor) 25 mg B.I.D to further manage his condition. Before Nurse Martinez administers the two medications, she carefully assesses Mr. Rodriguez’s vital signs. Which of her findings would be of greatest concern and necessitate immediate communication with the cardiologist? A. Blood pressure 94/60 mm Hg B. Heart rate 76 bpm C. Urine output 50 ml/hour D. Respiratory rate 16 bpm
- Sam, a certified medical assistant, works at a cardiologist’s office. At 8:30AM, Sam calls in the first patient, a 24-year-old woman named Lucia M., who was referred to the cardiologist by her primary care physician. The reason for the referral is that she has experienced palpitations, dizziness, light headedness, and a feeling of anxiety for three months now. Sam takes her vitals and escorts her to the examination room where she performs an EKG. She then tells her to wait for the doctor. After the doctor examines her and evaluates the EKG, he informs the patient that he would like to order a 24-hour Holter test. Sam returns to the examination room to give her instructions about the Holter test, but Lucia bursts into tears and grabs Sam’s hand. She says that she noticed a look of concern in the doctor and asks Sam if she will die. What is the best action for the medical assistant to take in this situation? Can she provide an answer to the patient? Why or why not?.The nurse is giving an intravenous dose of levothyroxine (Synthroid). The order reads: “Give 0.1 mg IV push now.” What is the ordered dose in micrograms?A 55-year-old army captain was admitted to the ward for a general checkup. History revealed that during his service, he lost both lower legs to a landmine. As the clinical instructor, you expect the student nurse to report pulsations in all of the following sites, EXCEPT: femoral carotid popliteal radial
- The nurse is caring for a 20-year-old female client, Rose Jones, who was admitted to the surgical floor after being the unrestrained (no seat belt) driver in a head-on motor vehicle accident. When Rose initially arrived in the emergency department, she was tachycardic, tachypneic, and anxious. She reported sharp chest pain and severe dyspnea with a pulse oximetry reading of 88% on room air. Before being transferred to your unit, Rose had a chest tube placed on the left side, after a chest x-ray showed a pneumothorax resulting from multiple rib fractures. She is currently ordered oxygen at 4 LPM via nasal cannula. (Learning Objectives 4, 5, 6, 10) 1. Describe the purpose of a chest tube for a client with a pneumothorax. 2. Describe key assessments that should be completed on a client with a chest tube and necessary equipment that should be kept available. 3. Describe the assessment findings that would suggest the client is hypoxic. What nursing interventions would be helpful for…A 78 year-old woman is admitted to the ICU with a diagnosis of heart failure. The nurse administers Furosemide (Lasix) 40 mg IV push. What assessments should the nurse make to determine the effectiveness of this therapy?Mary Cruz is a registered nurse who is always reminding her student nurse, Jasmine, of the critical nature of monitoring a patient's blood pressure while they are on maintenance. Amlodipine is a calcium channel blocker that she is taking. Why is surveillance necessary?
- The EMT transports a 56 year old male to the ER, he is unconscious when he arrives. The EMT reports that the patient was in the grocery store when he abruptly fell to the ground. The EMT noted he was displayed generalized tonic- clonic seizure symptoms. The ER nurse was unable to get a history. He was unresponsive to commands and seemed very confused. His BP was 175/92, pulse 107, temp. 37.5 C , and his respiratory rate was 19 breaths per min. His pupils were 3mm and reactive, diminished movement on his left side and he had bilateral Babinski reflexes. What is a Generalized tonic-clonic seizures? Seizure disorders are produced by what underlying causes, and which one might you expect in this patient? This patient seizures pathophysiology is probably what?This patient is a 55-year-old male, known to me for several years. He is here, today, for his annual physical examination. Vitals are of concern, as he is showing an elevated blood pressure (152/92 mm Hg) and his weight is 50 pounds over where it should be. Patient complained that he has been feeling sluggish and fatigued more often than not. Patient stated that he has been taking his BP medication and believes that he sleeps well. However, the patient shares that his wife has been complaining recently about his loud snoring and told him that he appears to be breathing irregularly when asleep. I am recommending that he go through diagnostic testing for suspected obstructive sleep apnea (OSA). Why should you query this physician and what would you ask? A. Missing detail: Does the patient have OSA or not? B. Missing detail: Does the patient have OSA or not? C. Ambiguous information: Was the wife's assessment accurate? D. Contradictory information: Does the patient have elevated BP or…The nurse is administering an intra-enous dose of morphine sulfate to a 48-year-old postoperative patient. The dose ordered is 3 mg e-ery 3 hours as needed for pain. The medication is supplied in -ials of 4 mg/mL. How much will be drawn into the syringe for this dose?
