Chapter 1, Problem 14MC

A nurse prepares to administer a scheduled dose of labetalol by the mouth to a client with hypertension, heart rate ie 48 betas/min, respirations 16 breaths/min, and blood pressure 150/90 A. Administer the dose and monitor the client BP regularly B. Apply a telemetry monitor before administering the dose C. Assess for orthostatic hypotension before administrating the dose D. Withhold the scheduled dose and notify the healthcare prescriber

While inflating the balloon of a pulmonary artery catheter (PAC) with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP), the nurse encounters resistance. What is the best nursing action ?   a) add an additional 0.5 mL of air to the balloon and repeat the procedure. b) Advance the catheter with the balloon deflated and repeat the procedure. c) Deflate the balloon and obtain a chest x-ray study to determine line placement. d) Lock the balloon in the inflated position and flush the distal port of the PAC with normal saline     asap

A client admitted with shortness of breath and palpitations currently take a antiarrhythmic dronedarone, which action should the nurse take to prevent? A. Measure orthostatic blood pressure B. Obtain a 12 lead ECG reading daily C. Assess the client’s apical pulse daily D. Provide continuous ECG monitoring