A nurse evaluates medication administration record (MAR) listed below for a client with the following rhythm.
Lisinopril 10 mg PO daily
Digoxin 0.125 mcg PO daily
Warfarin 5 mg PO every other day
Furosemide 20 mg PO Daily
Which medication would the nurse expect to find on this client's medication administration record to prevent a common complication of this condition?
Digoxin
Warfarin
Furosemide
Lisinopril
The Correct Answer is B
A. Digoxin is used to control the heart rate in atrial fibrillation but does not directly prevent the common complication of thromboembolism.
B. Warfarin is an anticoagulant used to prevent thromboembolic complications, such as stroke, which are common in atrial fibrillation due to the formation of clots in the atria.
C. Furosemide is a diuretic used to manage fluid retention, often in heart failure, but it does not prevent thromboembolism.
D. Lisinopril is an ACE inhibitor used to manage hypertension and heart failure, but it does not prevent thromboembolic complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Epinephrine is used in cases of severe allergic reactions or anaphylaxis, and while it may be appropriate in treating angioedema, the first priority is to ensure the airway is clear and that the client can breathe. Administering epinephrine may be part of the treatment plan but should follow securing the airway and calling for immediate advanced help.
B. This is not appropriate because angioedema can be life-threatening and can rapidly progress to airway obstruction. Reassurance without action would delay necessary interventions and could jeopardize the client’s safety.
C. In cases of angioedema, airway obstruction is the most dangerous complication, as it can lead to asphyxiation. The nurse's first priority is to ensure that the patient's airway remains open and clear. The nurse should immediately call the Rapid Response Team (RRT) for urgent medical intervention, which may include medications (like epinephrine), intubation, or other interventions. Ensuring the airway is open and calling for advanced help are the most critical first steps in managing severe cases of angioedema.
D. While oxygen therapy may be appropriate if the client shows signs of respiratory distress or hypoxia, the immediate concern is securing the airway. Oxygen may be needed after ensuring the airway is open, but the priority is to avoid airway obstruction first. The nurse should secure the airway and then administer oxygen if needed.
Correct Answer is B
Explanation
A. Hydration and urine output are maintained through IV fluids and kidney function, not bladder irrigation.
B. Continuous bladder irrigation prevents catheter obstruction by flushing out blood clots or debris after TURP surgery. This is the primary purpose of the procedure.
C. While bladder irrigation may help reduce bleeding indirectly by maintaining flow, it is not its main purpose.
D. Antibiotics are not typically administered via bladder irrigation; systemic routes are preferred for infection control.
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