Decongestants should be used with caution in patients with which diagnoses?

Select All that Apply.)

Diabetes

Hypertension

Hyperthyroidism

Heart disease

Allergic rhinitis

Answer and Explanation

Correct Answer : B,D

A. Diabetes: Diabetes is not typically a contraindication for decongestant use. However, patients with diabetes should be cautious with decongestants that contain sugar or other ingredients that may affect blood glucose levels.

B. Hypertension: Decongestants can cause vasoconstriction, which may lead to an increase in blood pressure. Patients with hypertension should use decongestants cautiously and under the guidance of a healthcare provider to avoid exacerbating their condition.
C. Hyperthyroidism: While decongestants can stimulate the sympathetic nervous system and may exacerbate symptoms of hyperthyroidism such as tachycardia and palpitations, hyperthyroidism is not typically considered a contraindication for decongestant use. However, patients with hyperthyroidism should use decongestants cautiously and consult with their healthcare provider.

D. Heart disease: Decongestants can increase heart rate and blood pressure, potentially exacerbating symptoms in patients with underlying heart conditions such as coronary artery disease, heart failure, or arrhythmias. Patients with heart disease should use decongestants cautiously and consult with their healthcare provider before use.

E. Allergic rhinitis: Allergic rhinitis is not typically a contraindication for decongestant use. In fact, decongestants are often used to relieve nasal congestion associated with allergic rhinitis. However, patients with allergic rhinitis should use decongestants cautiously and follow the recommended dosage instructions.

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Correct Answer is ["28"]

Explanation

To calculate the IV infusion rate in drops per minute (gtt/min), you can use the following formula:

IV infusion rate (gtt/min) =(Total volume (mL)×Drop factor (gtt/mL)) / Total time (min)

Given:

Total volume = 1000 mL

Drop factor = 10 gtt/mL

Total time = 6 hours = 6 hours × 60 minutes/hour = 360 minutes

Substitute the given values into the formula:

IV infusion rate (gtt/min) = (1000mL×10gtt/mL)/360 min

IV infusion rate (gtt/min) = 10,000/360

$IV infusion rate (gtt/min)≈27.78gtt/min$

Rounding to the nearest whole number, the IV infusion rate is approximately 28 gtt/min

A. "Ventilation is the process of moving air into and out of the lungs." B. "Ventilation is taking a breath in." C. "Ventilation is the blood flow through the lung." D. "Ventilation is the process by which gases are exchanged."

Correct Answer is A

Explanation

A) "Ventilation is the process of moving air into and out of the lungs."
Ventilation refers to the mechanical process of breathing, which involves the movement of air into and out of the lungs. During ventilation, air containing oxygen is drawn into the lungs through inhalation (inspiration), and carbon dioxide-rich air is expelled from the lungs through exhalation (expiration). This process facilitates the exchange of gases (oxygen and carbon dioxide) between the lungs and the external environment.

B) "Ventilation is taking a breath in."
This statement is too simplistic and does not fully encompass the process of ventilation, which includes both inhalation and exhalation. Ventilation involves not only taking a breath in but also the subsequent process of exhaling.

C) "Ventilation is the blood flow through the lung."
This statement describes perfusion, which is the process of blood flow through the lung's blood vessels, rather than ventilation, which involves air movement in and out of the lungs. Ventilation and perfusion are closely related but distinct processes.

D) "Ventilation is the process by which gases are exchanged."
While ventilation facilitates gas exchange, this statement does not fully capture the mechanical aspect of moving air into and out of the lungs, which is the primary function of ventilation. Gas exchange occurs in the alveoli of the lungs, where oxygen diffuses into the bloodstream, and carbon dioxide diffuses out of the bloodstream, but ventilation refers specifically to the movement of air.

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Decongestants should be used with caution in patients with which diagnoses? Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer 1.000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it appl use a trailing zero.)

Correct Answer is ["28"]

Explanation

A client asks the nurse what ventilation is. What is the most appropriate response by the nurse?

Correct Answer is A

Explanation

A nurse is reinforcing teaching to a school-age child who has asthma. Which of the following medications should the nurse instruct the child to use to abort an ongoing attack?

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Decongestants should be used with caution in patients with which diagnoses?

Select All that Apply.)