When treating hypertensive emergencies, the nurse identifies the most appropriate route of administration for antihypertensive agents as being which of the following?

Continuous IV infusion

Sublingual

Intramuscular

Oral

Answer and Explanation

The Correct Answer is A

A. Continuous IV infusion is the most appropriate route for treating hypertensive emergencies because it allows for rapid and controlled reduction of blood pressure, which is crucial in preventing target organ damage.
B. Sublingual administration is not recommended in hypertensive emergencies because it does not allow for the precise control needed in these situations.
C. Intramuscular administration is generally not used for antihypertensive agents in emergencies because it does not provide the rapid and adjustable response that IV infusion does.
D. Oral administration is too slow in onset for hypertensive emergencies and is not appropriate when immediate blood pressure control is necessary.

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

Explanation

A. Crackles are more commonly associated with left ventricular failure, which leads to pulmonary congestion.

B. Hepatomegaly, or an enlarged liver, is a sign of right ventricular failure due to blood backing up in the systemic circulation.

C. Jugular venous distention is a classic sign of right ventricular failure as blood accumulates in the venous system.

D. Orthopnea, or difficulty breathing while lying down, is more indicative of left ventricular failure.

E. Peripheral edema is a hallmark of right ventricular failure, resulting from increased venous pressure.

A. Obtain a stat chest x-ray to verify proper catheter placement. B. Zero reference and level the catheter at the phlebostatic-axis. C. Increase supplemental oxygen and notify respiratory therapy. D. Notify the provider immediately of the assessment findings.

Correct Answer is B

Explanation

A. Obtaining a stat chest x-ray is important if catheter misplacement is suspected, but in this situation, ensuring the accuracy of the pressure reading through proper leveling and zeroing is the priority.
B. Zero referencing and leveling the catheter at the phlebostatic axis is essential to ensure accurate readings of the pulmonary artery pressure, which is critical for patient assessment and management.
C. Increasing supplemental oxygen is unnecessary given the patient’s stable oxygen saturation and normal respiratory status.
D. While notifying the provider is important, ensuring the accuracy of the pressure reading by leveling and zeroing the catheter should be done first.

View Question and Answer

A nurse is caring for a client in the emergency department (ED).

<div id="exhibits">Exhibits</div>

The nurse is planning care for the client. For each potential prescription, indicate whether it is an anticipated (high priority), nonessential (low priority), contraindicated(unrelated).

Select one or more in each option.

View Question and Answer

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When treating hypertensive emergencies, the nurse identifies the most appropriate route of administration for antihypertensive agents as being which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which clinical manifestations are indicative of right ventricular failure? (Select all that apply.)

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

Explanation

Correct Answer is B

Explanation

A nurse is performing cardiopulmonary resuscitation (CPR) for an adult client who is unresponsive. The nurse should evaluate the client's circulation by palpating which of the following pulses?

A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as the cause of the client's low potassium level?

The nurse is educating a patient's family member about a central venous pressure catheter (CVP). Which statement by the family member best indicates understanding of the purpose of the CVP?

The nurse has received the laboratory results for a patient who developed chest pain 4 hours ago and may be having a myocardial infarction. Which laboratory test result should be most helpful in indicating myocardial infarction?

While close family members are visiting, a patient has a respiratory arrest, and resuscitation is started. Which action by the nurse is best?

The main purpose of critical care certification is to