When administering the opioid Morphine to a patien

Question 1 of 5

When administering the opioid Morphine to a patient, it is given in doses of ______

A. 2-5 mg every 3-4 hours B. 10-12 mg every 4 hours C. 1-2mg every 8 hours D. 25 mg every 6 hours

Correct Answer: A

Rationale: When administering Morphine, the typical starting dose for an adult is 2.5 mg to 10 mg every 3 to 4 hours as needed for pain. The dose should be adjusted according to the severity of the pain, the patient's response, and any side effects. Therefore, the correct choice is A, 2-5 mg every 3-4 hours, as it falls within the recommended starting dose range for Morphine administration.

Question 2 of 5

What is one of the therapeutic uses of ACE inhibitors

A. Lowering of Blood pressure B. Bronchodilation C. Decreased incidence of nausea and vomiting D. Decrease in severity of pain

Correct Answer: A

Rationale: ACE inhibitors are commonly used to treat hypertension (high blood pressure). They work by inhibiting the angiotensin-converting enzyme (ACE), which plays a crucial role in regulating blood pressure by narrowing blood vessels. By blocking this enzyme, ACE inhibitors help dilate blood vessels, leading to a decrease in blood pressure. This makes ACE inhibitors an effective therapeutic option for managing hypertension and its associated complications.

Question 3 of 5

A 79-year-old patient is taking a diuretic for treatment of hypertension. This patient is very

A. The nurse will know that which teaching point is important for this patient? B. He should take the diuretic with his evening meal. C. He should skip the diuretic dose if he plans to leave the hous D.

Correct Answer: A

Rationale: The nurse will know that it is important to teach the patient to take extra precautions when standing up because of the potential risk of orthostatic hypotension and falls while taking a diuretic for hypertension. Orthostatic hypotension is a common side effect of diuretics, which can lead to dizziness or lightheadedness when changing positions, particularly when standing up quickly. This can increase the risk of falls and injury, especially in elderly patients like this 79-year-old individual. Therefore, the teaching point about taking extra precautions while standing up is crucial for the safety and well-being of the patient.

Question 4 of 5

A 75-year-old male patient was admitted to the unit with angina. He was started on nadolol (Corgard). The patient asks why he is taking this medication because he does not have high blood pressure. What is the nurseâ€™s best response?

A. Some beta-blockers have been approved as antianginal agents. B. This medication will prevent blood pressure problems later on. C. This drug will prevent you from developing an arrhythmia. D. This medication will reduce benign prostatic hypertrophy (BPH) as well as treat heart failure.

Correct Answer: A

Rationale: Decreased heart rate, contractility, and excitability, as well as a membrane-stabilizing effect, lead to a decrease in arrhythmias, a decreased cardiac workload, and decreased oxygen consumption. The juxtaglomerular cells are not stimulated to release renin, which further decreases the blood pressure. These effects are useful in treating hypertension and chronic angina and can help to prevent reinfarction after a myocardial infarction by decreasing cardiac workload and oxygen consumption. Corgard will not prevent blood pressure problems, arrhythmias, or glaucoma in the future. Corgard is not used to treat BPH.

Question 5 of 5

A patient has been on TPN for 1 month, and there is an order to discontinue TPN tomorrow. The nurse contacts the health care provider because sudden interruption of TPN therapy may cause which condition?

A. Dehydration B. Tremors C. Urinary retention D. Hypoglycemia

Correct Answer: D

Rationale: Sudden discontinuation of TPN can cause hypoglycemia due to the abrupt cessation of dextrose infusion. The nurse should gradually taper TPN or provide a dextrose solution to prevent this. Dehydration (A), tremors (B), and urinary retention (C) are not typical complications of TPN discontinuation.