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. Pouring water over the genitals can help reduce the pain of urination, which is common in clients with genital herpes.
B. Washing hands carefully after applying ointment is important to prevent the spread of the virus.
C. The herpes simplex virus can be transmitted even when lesions are not present, so this statement indicates a need for further education. The virus can be spread through asymptomatic viral shedding.
D. Increasing fluid intake when lesions are open helps to prevent urinary retention and promote healing.
Correct Answer is D
Explanation
A. Although monitoring hemodynamic parameters is important, this option does not address the immediate issue of low preload, as indicated by the low CVP and PAWP, suggesting hypovolemia.
B. Furosemide is a diuretic and would further decrease intravascular volume, which is inappropriate given the signs of hypovolemia.
C. Decreasing IV fluids would exacerbate the low preload and worsen the client's condition by reducing intravascular volume even further.
D. Administering 0.9% Normal Saline @ 150 mL/hr is the most appropriate intervention. The low CVP and PAWP indicate hypovolemia, and increasing fluid administration will help to increase the preload, thereby improving the client's hemodynamic status.
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