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 D
Explanation
A. Increasing normal saline infusion is appropriate for treating dehydration and hypovolemia.
B. Collecting blood cultures and administering antibiotics is appropriate for treating possible sepsis, given the fever and elevated WBC count.
C. Collecting a urine sample for culture and sensitivity is appropriate to investigate a potential urinary source of infection.
D. Administering furosemide, a diuretic, is inappropriate in a client with signs of dehydration and hypovolemia (e.g., low CVP and PAWP) as it can worsen fluid depletion.
Correct Answer is B
Explanation
A. Orthopnea: Orthopnea is difficulty breathing when lying flat, but the client's description of waking up suddenly points to paroxysmal nocturnal dyspnea.
B. Paroxysmal nocturnal dyspnea: This is the correct answer. Paroxysmal nocturnal dyspnea occurs when a client with heart failure wakes up at night feeling suffocated due to fluid redistribution and pulmonary congestion.
C. Pulsus alternans: Pulsus alternans refers to alternating strong and weak heartbeats and is not related to the client's description of nocturnal dyspnea.
D. Acute bilateral pleural effusion: While pleural effusion can cause respiratory symptoms, paroxysmal nocturnal dyspnea is more specific to heart failure.
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