A client is being seen at an urgent care facility for the treatment of severe acute angina. A nurse is administering sublingual nitroglycerin to the client every 5 minutes. What is the maximum number of doses of nitroglycerin the nurse should administer before reporting no improvement to the primary health care provider? 1.3 doses in a 15-minute period 2.5 doses in a 30-minute period 3.7 doses in a 30-minute period 4.9 doses in a 60-minute period
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- Hello, Can you help me with this case, please! Susan is an RN on a busy Med-Surg floor. She is caring for 7 patients, and there are 2 UAP’s assigned to the 22-bed unit. Susan assessed for orthostatic hypotension in an elderly client. The blood pressure reading in a supine position is 152/80, and the blood pressure reading in a standing position is 106/68. The client complains of slight dizziness upon standing. What factors may have increased the risk for orthostatic hypotension in this client? I would like a short Answer. Thanks in advance!Explain your Nursing Considerations/observations for clients who are using “Nitrates in the treatment of angina “in oral form (sublingual)Concept Map which consists of: 1 nursing diagnosis 1 Goal 3 Nursing interventions with rationale evaluation Completed medication cards Mr. S.B. has been a smoker for 20 years. He has noticed increased shortness of breath (SOB) for the past week and is complaining of a productive cough with thick whitish phlegm. VSS 99.9F, 92HR, 32R, and 152/90. Pulse oximetry is 90% on room air. Medications: Prednisone 10mg orally dailyProventil MDI 180mcg. 2 puffs inhaled every 6 hours
- to prevent further attacks? old stockbroker has recovered from coronary 11, 12, 132. A 50-year- artery bypass grafting (CABG) surgery and is soon to be discharged. He is concerned about possible risks of coronary artery disease (CAD) and wants to lead a healthier lifestyle. What instructions should a nurse give to the client to prevent further CAD? 3. A client is scheduled for an angiocardiogram. The healthcare facility requires an informed consent from the client. When the nurse discusses the issues with this client, he refuses to sign the consent form and gets anxious and apprehensive about the test. Should the nurse proceed with the test? What is the nurse's role in ensuring that the client is informed and feels comfortable taking the test?Write down all the regulatory mechanisms that maintain normal blood pressure. 2.Develop a 24-hour meal plan appropriate for the client described below: Juan Dela Cruz, a 46-year-old taho vendor, stands 5’4” tall and weighs 100lbs,is to be discharged from FUMC due to acute MI. The patient is aware of being hypertensive and is a smoker since his early adulthood. He was admitted due to, without any prior symptom, severe persistent chest pain after about 24 hours. He stated he does not want this to happen again as he is the breadwinner of a family of 6.Topic Hypertension 4. Nursing management - using the nursing process, develop two plans of care ‐ 1 related to one priority physiological nursing diagnosis and 1 related to one priority psychosocial nursing diagnosis. Please include the following information in each plan of care: • Priority nursing diagnosis • short and 1 long‐term goal • to 5 nursing interventions with rationale statements, • to 5 evaluative statements based on interventions, and • A minimum of 3 potential patient education needs for consideration. asap please
- what are 2 possible patient-based outcomes with time frames for a patient priority problem of Polysubstance abusSheridan Faculty of Applied Health and Community Studies 1. After being stabilized and monitored in the hospital, Mr. Zane is discharged home. Mr. Zane's primary care physician prescribes him a long-acting calcium channel blocker as first-line monotherapy. Why are calcium channel blockers recommended as first-line therapy for African American people with hypertension? Explain. 2. Mr. Zane's blood pressure remains elevated after being started on the calcium channel blocker. Mr. Zane is started on 50 mg of the thiazide diuretic, hydrochlorothiazide daily. Discuss the antihypertensive effects of hydrochlorothiazide. 3. What information must you share with Mr. Zane to increase adherence and decrease the adverse effects of hydrochlorothiazide? What should Mr. Zane be educated about concerning his disease process and the impact of adherence to the drug therapy regimen? 4. Mr. Zane's physician is trying to establish a medication regime to best control Mr. Zane's primary hypertension, and the…OBJa nurse is preparing to measure a clients vital signs. The nurse should identify that which of the following factors will affect the methods that are used
- I need help with intravenous calculations for my homework. The question says, Order: pepcid 20 mg IV BID Available: pepcid 20mg/50mL to infuse over 15 minutes. The intravenous infusion set is microdrip. How many ML/hr will the nurse administer? ( round to whole number)Mrs. Simpson was hospitalized today for a ventricular arrhythmia. The physician orders disopyramide (Norpace) to be given orally at a dose of 400 mg per day in divided doses every 12 hours. Mrs. Simpson weighs 176 pounds. (Learning Objectives 2, 5) 1. How many milligrams should the nurse give Mrs. Simpson in one dose? 2. Procainamide is available in a 200-mg capsule. How many capsules would Mrs. Simpson need per dose? 3. What monitoring should the nurse do while the patient is taking disopyramide (Norpace)?Category: Pharmacological and Parenteral Therapies The nurse is caring for a 65-year-old male client with a history of ischemic heart disease who has been admitted to the ICU following a myocardial infarction. The client is currently receiving lidocaine I.V. to manage his ventricular ectopy, which has been persistent. Which of the following factors would be most important for the nurse to consider in relation to the administration of this medication? A. Decrease in arterial oxygen saturation (SaO2) when measured with a pulse oximeter B. Increase in systemic blood pressure C. Presence of premature ventricular contractions (PVCs) on a cardiac monitor D. Increase in intracranial pressure (ICP) E. A drop in serum potassium levels as indicated in the latest lab results F. Observation of a widening QRS complex on the ECG