A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb) since the last visit 2 days ago. Which of the following actions should the nurse take first?

Determine medication adherence by the client.

Teach the client about foods low in sodium.

Encourage the client to dangle the legs while sitting in a chair.

Notify the provider of the client's weight gain.

Answer and Explanation

The Correct Answer is D

A. Determine medication adherence by the client:
This choice is incorrect as the nurse should first take immediate actions to address the client's weight gain and potential exacerbation of heart failure symptoms. While medication adherence is important, it's not the first action to take in this situation.
B. Teach the client about foods low in sodium:
This choice is incorrect as educating the client about sodium intake is important for managing heart failure, but the priority in this case is to address the current weight gain and potential worsening of the client's condition.
C. Encourage the client to dangle the legs while sitting in a chair:
This choice is incorrect. Dangling the legs while sitting in a chair can help improve blood circulation in some cases, but it's not the first action to take when the client has gained a significant amount of weight since the last visit. The priority should be addressing the weight gain and its potential impact on the client's heart failure.
D. Notify the provider of the client's weight gain:
This is the correct choice. When a client with heart failure experiences a sudden weight gain, it can indicate fluid retention and worsening of their condition. Notifying the healthcare provider about the weight gain is crucial to ensure timely assessment, potential medication adjustments, and other interventions to prevent further deterioration of the client's health. Prompt communication with the provider can help prevent complications associated with heart failure.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. "You should anticipate taking medication to treat your disease for at least the next 3 years."
Incorrect Explanation: This statement is not accurate for the treatment duration of active pulmonary tuberculosis.
Explanation: The standard treatment duration for active pulmonary tuberculosis involves taking a combination of medications for a period of 6 to 9 months, depending on the specific treatment regimen. Three years is not a typical timeframe for the treatment of active TB.
B. "You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease."
Incorrect Explanation: Tuberculin skin tests are not typically performed as a routine part of TB medication management.
Explanation: Tuberculin skin tests (also known as Mantoux tests) are used to diagnose latent tuberculosis infection, not as a means to monitor medication management of active pulmonary tuberculosis.
C. "You will need to take two or more medications to treat your disease."
Correct Answer: This statement is appropriate and accurate for the treatment of active pulmonary tuberculosis.
Explanation: The treatment of active pulmonary tuberculosis usually involves a combination of antibiotics (usually four medications) to ensure effective treatment and to prevent the development of drug-resistant strains.
D. "You should report monthly to have your blood drawn to monitor kidney function while taking medication."
Incorrect Explanation: Monthly blood draws for kidney function monitoring are not standard practice for tuberculosis medication management.
Explanation: While kidney function monitoring might be necessary for certain medications, it is not a standard requirement for all tuberculosis medications. Monitoring kidney function is important, but the frequency and need for blood draws may vary based on individual patient factors and the specific medications prescribed.

A. Warmer skin B. Increased sleeping C. Increase in pulse rate D. Weight loss

Correct Answer is B

Explanation

A. Warmer skin:
Correct Answer: This is an expected effect after taking methimazole for 2 months.
Explanation: Hyperthyroidism, including Graves' disease, can lead to an overactive metabolism, which can cause the person to feel unusually warm. Methimazole helps reduce the production of thyroid hormones, which can lead to a decrease in the metabolic rate and result in the client feeling less warm.
B. Increased sleeping:
Correct Explanation: This is an expected effect after taking methimazole for 2 months.
Explanation: Hyperthyroidism can cause insomnia or difficulty sleeping due to the increased metabolic rate and heightened levels of thyroid hormones. As methimazole helps normalize thyroid hormone levels, improved sleep patterns can be observed in clients with Graves' disease.
C. Increase in pulse rate:
Incorrect Explanation: An increase in pulse rate is not the expected effect after taking methimazole for 2 months.
Explanation: Hyperthyroidism can lead to an elevated resting heart rate due to increased thyroid hormone levels stimulating the cardiovascular system. Methimazole is used to help bring thyroid hormone levels back to normal, which should lead to a reduction in the pulse rate over time.
D. Weight loss:
Correct Explanation: This is an expected effect after taking methimazole for 2 months.
Explanation: Weight loss is a common symptom of hyperthyroidism due to the increased metabolic rate. Methimazole helps lower thyroid hormone levels, which can result in a decreased metabolic rate and gradual weight stabilization.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb) since the last visit 2 days ago. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to make?

Correct Answer is C

Explanation

A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Correct Answer is B

Explanation

A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?

A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actions should the nurse take?

A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?

A nurse is planning to administer medications to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take?

A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify which of the following medications interacts with carbamazepine.

A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?

A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?

A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following findings should the nurse identify as an adverse effect of this medication?