Nokea
A client is to receive midodrine. Which of the following would the nurse include in the plan of care to ensure that the client doesn't develop supine hypertension?
- A. Administer midodrine during the day.
- B. Ensure that the client is lying in a supine position.
- C. Instruct the client to regularly shift positions.
- D. Assist the client when moving out of bed.
Correct Answer: A
Rationale: Administering midodrine during the day reduces the risk of supine hypertension, which is more likely when the client is lying down for extended periods.
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A nurse is caring for a client who has recently suffered an acute myocardial infarction. The nurse would closely monitor this client for which of the following that would suggest that the client is developing shock?
- A. Increased blood pressure
- B. Decreased urinary output
- C. Hypoxia
- D. Tachypnea
- E. Bradycardia
Correct Answer: B,C,D
Rationale: Signs of shock include decreased urinary output, hypoxia, and tachypnea due to inadequate tissue perfusion. Increased blood pressure and bradycardia are not typical signs of shock.
A nurse is caring for an older adult client who is prescribed isoproterenol. After administering the drug, the nurse would immediately report which of the following changes to the primary health care provider?
- A. Blood glucose level
- B. Appetite
- C. Temperature
- D. Pulse rate
Correct Answer: D
Rationale: Isoproterenol's cardiac stimulatory effects require immediate reporting of changes in pulse rate or rhythm to prevent complications like arrhythmias.
A client is prescribed norepinephrine IV. Which of the following would be appropriate for the nurse to do?
- A. Administer the drug via a gravity infusion.
- B. Dilute the drug with sterile saline.
- C. Continuously monitor the client's blood pressure.
- D. Check the IV insertion site for leakage.
- E. Assess the client's urinary output hourly.
Correct Answer: C,D,E
Rationale: Norepinephrine requires an infusion pump, continuous blood pressure monitoring, IV site checks for leakage, and hourly urinary output assessment to ensure proper administration and effect.
Ma huang is an herbal product that has been used to relieve cold symptoms and for weight loss. The nurse would instruct a client receiving which of the following to avoid products containing ma huang?
- A. Digoxin (Lanoxin)
- B. Phenelzine (Nardil)
- C. Guanethidine (Ismelin)
- D. Oxytocin (Pitocin)
- E. Halothane (Avestan)
Correct Answer: A,B,C,D,E
Rationale: Ma huang, containing ephedrine-like compounds, can interact with digoxin, phenelzine, guanethidine, oxytocin, and halothane, leading to adverse cardiovascular or neurological effects.
The nurse administers isoproterenol (Isuprel) to a client. Which of the following would most likely occur?
- A. Decreased heart rate
- B. Increased use of glucose
- C. Decreased gastric motility
- D. Constriction of coronary blood vessels
- E. Wakefulness
Correct Answer: B,C,E
Rationale: Isoproterenol stimulates beta receptors, leading to increased heart rate, increased glucose metabolism, decreased gastric motility, dilation of coronary blood vessels, and wakefulness.