A nurse assesses a client after administering a prescribed beta blocker. Which assessment would the nurse expect to find?

Correct Answer: D

Rationale: The correct answer is D because beta blockers lower heart rate by blocking the effects of adrenaline on the heart. This results in a decreased pulse rate. Choice A is incorrect because beta blockers typically lower blood pressure. Choice B is incorrect as beta blockers do not directly affect respiratory rate. Choice C is incorrect because beta blockers do not affect oxygen saturation directly. Overall, the expected assessment after administering a beta blocker would be a decrease in heart rate (pulse).

Correct Answer: A

Rationale: The correct answer is A: Angiotension converting enzyme (ACE) inhibitors. Post-myocardial infarction, ACE inhibitors are crucial in managing heart failure by reducing afterload, improving cardiac function, and preventing adverse remodeling. ACE inhibitors also decrease mortality rates in patients with heart failure. Beta blockers (B) are also important but are typically initiated later in the treatment plan. Calcium channel blockers (C) are not first-line agents in heart failure treatment. Diuretics (D) are used to manage fluid overload but are not specifically indicated for post-myocardial infarction heart failure management.

Correct Answer: B

Rationale: The correct answer is B: conducting health assessments. Nurses in physician offices play a crucial role in assessing patients' health status, collecting vital signs, conducting physical exams, and gathering medical history. This responsibility enables them to provide essential information to the physician for diagnosis and treatment planning. Prescribing medications (choice A) is typically the responsibility of physicians, not nurses. Performing minor surgery (choice C) requires specialized training and usually falls under the scope of practice of surgeons or other healthcare providers. Making independent home visits (choice D) may not be a typical responsibility of nurses in physician offices, as their primary role is to assist with patient care within the office setting.

Correct Answer: B

Rationale: The correct answer is B because respecting patients' values and beliefs is essential in providing culturally sensitive care. This fosters trust and promotes effective communication and understanding. Ignoring differences (A) can lead to misunderstandings and ineffective care. Convincing patients to change beliefs (C) is unethical and disrespectful. Refusing care (D) goes against the nursing code of ethics and denies patients access to care based on their cultural or religious backgrounds. Respecting diversity is crucial in delivering patient-centered care.

Correct Answer: B

Rationale: The correct answer is B: diagnosing. In the nursing process, diagnosing involves analyzing assessment data to identify actual and potential health problems. In this scenario, the nurse is identifying a potential issue with normal growth and development based on assessment findings. Assessing (A) is the data collection step, planning (C) involves developing interventions, and implementing (D) is the action step. Diagnosing is the appropriate step to identify the specific problem and guide the care plan.