A nurse is caring for a client who has a prescription for metoprolol. The nurse measures the client's vital signs and notes that the client's apical heart rate is 49/min. The nurse should prepare to administer which of the following medications?

Diltiazem

Atropine

Digoxin

Carvedilol

Answer and Explanation

The Correct Answer is B

A. Diltiazem: Diltiazem is a calcium channel blocker used to treat high blood pressure and heart rhythm disorders. However, it can further lower the heart rate, which is not desirable in this case as the client’s heart rate is already low.

B. Atropine: This is correct. Atropine is often used to treat bradycardia (low heart rate). It works by blocking the action of the vagus nerve on the heart, which increases the heart rate.

C. Digoxin: Digoxin is used to treat heart failure and atrial fibrillation1. However, one of its side effects is that it can lower the heart rate, so it would not be appropriate to give to a client who already has a low heart rate.

D. Carvedilol: Carvedilol is a beta-blocker used to treat high blood pressure and heart failure1. Like other beta-blockers, it can lower the heart rate, so it would not be appropriate to give to a client who already has a low heart rate.

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Correct Answer is D

Explanation

(A) “I promise I won’t tell anyone about this.”: This statement is inappropriate because it is the nurse’s legal and ethical duty to report any suspicion or evidence of child abuse to the appropriate authorities. Keeping the information confidential could potentially endanger the child.

(B) “Let’s discuss what you have told me with your family members.”: This statement could potentially put the child at further risk, especially if the abuser is a family member. The child’s safety is the primary concern, and discussing the abuse with family members without the involvement of child protective services could be harmful.

(c) “Your family is bad for doing this to you.”: This statement is judgmental and unprofessional. It’s important to maintain a neutral stance and focus on the child’s feelings and safety rather than placing blame.

(D) “It is not your fault that this happened.”: This is the most appropriate response. It’s crucial to reassure the child that they are not to blame for the abuse. This can help alleviate feelings of guilt or shame that the child may be experiencing. The nurse should also take steps to ensure the child’s immediate safety and report the abuse to the appropriate authorities.

A. Agency for Healthcare Research and Quality (AHRQ) website B. American Association of Critical Care Nurses (AACN) website C. Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) website D. A pamphlet about hypoglycemia from the American Diabetes Association E. A magazine article about health care trends authored by a journalist Cumulative Index of Nursing and Allied Health Literature (CINAHL) website

Correct Answer is ["A","B","C","D","E"]

Explanation

(A) Agency for Healthcare Research and Quality (AHRQ) website: The AHRQ is a reputable source of information for healthcare professionals. It provides evidence-based information on healthcare outcomes, quality, cost, use, and access.

(B) American Association of Critical Care Nurses (AACN) website: The AACN is a credible source of information for nurses working in critical care. It provides resources, education, and advocacy to ensure optimal care for critically ill patients.

(C) Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) website: AWHONN is a reputable organization that promotes the health of women and newborns. Its website provides evidence-based clinical practice guidelines and other resources for nurses.

(D) A pamphlet about hypoglycemia from the American Diabetes Association: The American Diabetes Association is a reputable source of information on diabetes. A pamphlet from this organization about hypoglycemia would be based on the latest research and would be a credible source of information.

(E) Cumulative Index of Nursing and Allied Health Literature (CINAHL) website: CINAHL is a comprehensive source of full-text for nursing & allied health journals, providing full text for more than 610 journals indexed in CINAHL. This is a highly respected research tool for nurses and allied health professionals.

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A nurse is caring for a client who has a prescription for metoprolol. The nurse measures the client's vital signs and notes that the client's apical heart rate is 49/min. The nurse should prepare to administer which of the following medications?

Nursing Test Bank

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A nurse is caring for a child who reports being physically abused by a family member. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is discussing the process of evidence-based practice (EBP). Which of the following sources should the nurse identify as being examples of credible sources of information? (Select All that Apply)

Correct Answer is ["A","B","C","D","E"]

Explanation

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