The nurse is performing an assessment on a patient who will begin taking propranolol (Inderal) to treat hypertension. The nurse learns that the patient has a history of asthma and diabetes. The nurse will take which action?

Correct Answer: B

Rationale: Step 1: Identify contraindications - Propranolol is contraindicated in patients with asthma due to its potential to exacerbate bronchospasm. Step 2: Recognize patient history - The patient has a history of asthma. Step 3: Assess for comorbidities - The patient also has diabetes, which is another consideration in selecting appropriate antihypertensive medication. Step 4: Consider safer alternatives - Given the contraindications and comorbidities, contacting the provider to discuss an alternative antihypertensive medication is the best course of action. Step 5: Monitor for adverse effects - Administering the medication without addressing the contraindications could lead to serious complications. Summary: Option B is correct as it addresses the contraindications and comorbidities, ensuring patient safety. Options A, C, and D are incorrect as they do not address the potential risks associated with propranolol in this specific

Correct Answer: C

Rationale: The correct answer is C. Lovenox (enoxaparin) is a low molecular weight heparin that works immediately to prevent further clot formation. Warfarin (Coumadin) takes several days to reach therapeutic levels and inhibit clotting factors. Therefore, the combination of both medications ensures immediate anticoagulant effects from Lovenox while waiting for Coumadin to take full effect. Explanation of other choices: A: Incorrect. Using two anticoagulants does not necessarily reduce the risk for recurrent venous thrombosis. B: Incorrect. Lovenox and Coumadin have different mechanisms of action and do not function solely in clot dissolution and prevention. D: Incorrect. The presence of a VTE does not inherently indicate an increased risk for pulmonary embolism.

Correct Answer: C

Rationale: Step 1: Tuberculosis is caused by Mycobacterium tuberculosis, which has the potential to develop resistance to single drugs. Step 2: Multi-drug therapy involves using multiple drugs simultaneously to target different stages of bacterial growth. Step 3: This approach reduces the likelihood of drug resistance by preventing the bacteria from developing resistance to any single drug. Step 4: Therefore, the correct answer is C: Drug resistance. This explanation highlights the importance of using multiple drugs in tuberculosis treatment to prevent the development of resistant strains.

Correct Answer: C

Rationale: The correct answer is C because long-term care facilities provide care to individuals of any age who require assistance with activities of daily living, such as bathing, dressing, and medication management. This choice is true as these facilities cater to individuals with various health conditions or disabilities, not just older adults. Choice A is incorrect because long-term care facilities serve individuals of all ages, not just older adults. Choice B is incorrect as these facilities do not specifically cater to homeless adults but rather to anyone in need of long-term care services. Choice D is incorrect because long-term care facilities provide care to individuals with a range of conditions, not limited to those with dementia.

Correct Answer: D

Rationale: Step-by-step rationale for why the correct answer is D (registered nurse): 1. Registered nurses are trained to conduct comprehensive holistic assessments, considering physical, emotional, social, and psychological aspects of a patient's health. 2. They have the knowledge and skills to perform a thorough evaluation and identify any potential health issues or concerns. 3. Nurses play a crucial role in patient care and are often the first point of contact for patients, making them well-positioned to conduct assessments upon admission. 4. Physicians primarily focus on diagnosing and treating medical conditions, while admission clerks and licensed practical nurses do not have the same level of training and scope of practice as registered nurses. Summary of why other choices are incorrect: A. Physicians are not typically responsible for conducting holistic assessments upon admission. B. Admission clerks are not healthcare providers and do not have the clinical expertise required for holistic assessments. C. Licensed practical nurses have a more limited scope of practice compared to registered nurses and may not have the necessary training