The nurse in acute care is reviewing a patient's medications and ...

[bucstennis@aim.com]

The nurse in acute care is reviewing a patient's medications and notes that a prescriber's order for the patient has been changed to nesiritide (Natrecor).
 
  The nurse understands that the advantage of nesiritide (Natrecor), the synthetic form of natriuretic peptide, in treating heart failure is that a. it does not cause hypotension.
  b. it reduces both preload and afterload.
  c. no adverse events have been associated with its use.
  d. it has an oral dose formulation.

Question 2

A nurse is creating a plan of care for an obstetric patient receiving tocolytic medications. The nurse provides patient education about the medication.
 
  The nurse asks the patient, What out-come do we want to see as a result of the tocolytic therapy? Which response by the patient best demonstrates understanding of this medication? a. I will have sufficient milk production.
  b. The medication will directly affect my comfort level.
  c. The delivery will be postponed at least 24 hours.
  d. My breasts will be soft but not engorged.

[vickybb89]

Answer to Question 1

B
Nesiritide reduces both preload and afterload by dilating arterioles and veins.
Nesiritide may cause hypotension because of its vasodilatory effects, therefore the blood pressure must be monitored carefully.
Many adverse effects have been associated with the use of nesiritide; in fact, it is still being in-vestigated.
Nesiritide is administered only intravenously.

Answer to Question 2

C
Tocolytic therapy is implemented to suppress preterm labor.
Tocolytic therapy does not affect milk production or the breasts.
Tocolytic therapy may indirectly affect the patient's comfort level by reducing contractions, but it does not directly affect comfort level.

[bucstennis@aim.com]

TYSM

[mcarey591]

Excellent