PTS 1 DIF Moderate KEY Client Need Physiological Integrity Pharmacological and

Pts 1 dif moderate key client need physiological

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PTS: 1 DIF: Moderate KEY: Client Need: Physiological Integrity, Pharmacological and Parenteral Therapies | Cognitive Level: Application 57. ANS: B, D When applying transdermal nitroglycerin, the nurse should wear gloves to protect against hypotension from touching the ointment or patch medication. Always remove the prior ointment or patch before applying a new one to prevent overdose. A. The patch does not need to be applied before breakfast. C. The patient does not need to rest for 1 hour after applying the new patch. E. The new patch is not to be applied 30 minutes before removing the old patch. PTS: 1 DIF: Moderate KEY: Client Need: Physiological Integrity, Pharmacological and Parenteral Therapies | Cognitive Level: Application 58. ANS: A, B, C, D Morphine sulfate is the most commonly used narcotic for MI. In addition to pain relief, morphine helps decrease anxiety, opens bronchioles, and increases peripheral blood pooling to decrease preload (blood returning to heart) and afterload (pressure within the aorta), which can help increase blood supply and oxygen to the myocardium. E. Morphine does not affect myocardial oxygen needs. PTS: 1 DIF: Moderate KEY: Client Need: Physiological Integrity, Pharmacological and Parenteral Therapies | Cognitive Level: Application 59. ANS: A, B, D, E Abnormal responses to activity include heart rate over 120 bpm or 20 beats over resting rate, systolic BP increased over 20 mm Hg during activity, chest pain, dizziness, skin color changes, diaphoresis, dyspnea, dysrhythmias, excessive fatigue, and ST-segment changes on ECG. C. Nausea and vomiting are not manifestations of activity intolerance. PTS: 1 DIF: Moderate KEY: Client Need: Physiological Integrity, Reduction of Risk Potential | Cognitive Level: Analysis Test Bank - Understanding Medical-Surgical Nursing 6e (Williams and Hopper) 365
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