Nokea
A nurse is assessing a client who is receiving metoprolol. Which of the following indicates a therapeutic effect?
- A. Decreased blood pressure.
- B. Decreased dysrhythmias.
- C. Increased urine output.
- D. Decreased pulse.
Correct Answer: A
Rationale: The correct answer is A: Decreased blood pressure. Metoprolol is a beta-blocker that works by reducing heart rate and decreasing the workload on the heart, leading to a decrease in blood pressure. This is a therapeutic effect as it helps manage conditions like hypertension and angina.
Incorrect choices:
B: Decreased dysrhythmias - While metoprolol can help reduce dysrhythmias, the primary therapeutic effect is on blood pressure.
C: Increased urine output - Metoprolol does not directly affect urine output.
D: Decreased pulse - Decreasing pulse is a common side effect of metoprolol, but the therapeutic effect is primarily on blood pressure.
You may also like to solve these questions
A nurse is caring for a client who had total hip arthroplasty 1 day ago and is receiving morphine sulfate by PCA pump for pain control. The client reports nausea and vomiting. Which of the following actions should the nurse take?
- A. Insert a nasogastric tube.
- B. Administer an antiemetic.
- C. Auscultate bowel sounds.
- D. Encourage the client to ambulate.
Correct Answer: B
Rationale: The correct answer is B: Administer an antiemetic. Nausea and vomiting are common side effects of morphine sulfate. Administering an antiemetic will help relieve these symptoms without interfering with the pain control provided by the PCA pump. Inserting a nasogastric tube (choice A) is not indicated as there is no indication of bowel obstruction. Auscultating bowel sounds (choice C) is not the priority in this situation. Encouraging the client to ambulate (choice D) may help with bowel motility but addressing the nausea and vomiting is the immediate concern.
A nurse is preparing to administer 40 mg of furosemide IV. Available is furosemide 10 mg/mL. How many mL should the nurse administer per dose?
Correct Answer: 4
Rationale: Correct Answer: A nurse should administer 4 mL of furosemide per dose. To calculate this, divide the total dose (40 mg) by the concentration (10 mg/mL). 40 mg ÷ 10 mg/mL = 4 mL. This ensures the correct dosage is administered.
Choice B: Incorrect. This choice does not follow the correct calculation method and does not provide the accurate dosage.
Choice C: Incorrect. This choice does not consider the concentration of the medication and does not provide the correct amount to administer.
Choice D: Incorrect. This choice does not involve the necessary division of the total dose by the concentration, resulting in an incorrect answer.
Choice E: Incorrect. This choice does not show a clear calculation method or consideration of the medication concentration.
Choice F: Incorrect. This choice lacks any calculation or explanation, making it an insufficient answer.
Choice G: Incorrect. This choice does not provide any reasoning or calculation to support the amount to administer, making it an inadequate
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse expect?
- A. Blurred vision
- B. Severe headache
- C. Oriented to person, place, and year
- D. Bradycardia
Correct Answer: B
Rationale: The correct answer is B: Severe headache. Meningitis commonly presents with severe headache due to inflammation of the meninges. This is a classic symptom and should be expected during assessment. Blurred vision (A) is not a typical finding in meningitis. Being oriented to person, place, and year (C) is a sign of intact mental status, which may not be present in someone with meningitis. Bradycardia (D) is not a common finding in meningitis; tachycardia is more likely due to the body's response to infection.
A nurse is caring for a client who is postpartum and asks the nurse when her breast milk will 'come in.' Which of the following responses should the nurse make?
- A. Within 2 days.
- B. In 3 to 5 days.
- C. In about 10 days.
- D. In 6 to 8 days.
Correct Answer: B
Rationale: The correct answer is B: In 3 to 5 days. This is because breast milk typically comes in around 3 to 5 days after giving birth, as it takes time for hormonal changes to trigger milk production. Option A (Within 2 days) is too soon for most women to experience lactogenesis II. Option C (In about 10 days) and Option D (In 6 to 8 days) are both incorrect as they are outside the typical timeframe for milk production to start. It's important for the nurse to provide accurate information to the client to manage her expectations and provide proper support during this crucial time.
A nurse is giving a change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR?
- A. Plan of care changes for the upcoming shift
- B. Intracranial pressure readings
- C. Glasgow results
- D. Code status
Correct Answer: D
Rationale: The correct answer is D: Code status. In the background segment of SBAR, the nurse should include the client's code status to ensure the oncoming nurse is aware of the client's wishes in case of a medical emergency. This information is crucial for providing appropriate care and making decisions aligned with the client's preferences. Intracranial pressure readings (B) and Glasgow results (C) are more specific to the current condition of the client and would be included in the assessment segment of SBAR. Plan of care changes for the upcoming shift (A) would be part of the recommendation segment.