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. It is appropriate to monitor for symptoms of bradycardia, but the student is currently asymptomatic.
B. Referral to a cardiologist is not necessary unless the student develops symptoms or other concerning signs.
C. Sinus bradycardia can be normal in young, healthy athletes, especially those who engage in regular physical activity. Since the student is asymptomatic, with no signs of dyspnea, chest pain, or other concerning symptoms, there is no reason to restrict participation in sports.
D. Family history may be helpful, but this is not the immediate priority when the student is asymptomatic.
Correct Answer is C
Explanation
A. Blood glucose elevation is a concern for statins, but it is not a primary reason for questioning the order.
B. A history of high cholesterol is common and would not trigger concern regarding lovastatin.
C. Lovastatin can cause liver toxicity, so elevated liver enzymes are a contraindication or cause for concern when prescribing this medication. The nurse should verify this before starting the medication.
D. A history of peptic ulcers is unrelated to the use of lovastatin and would not be a concern in this case.
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