A nurse in a provider's office is caring for a male client.

Exhibits

Drag words from the choices below to fill in each blank in the following sentence.

The nurse is evaluating the client's response to the prescribed medications. The client's
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and
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indicate an improvement in the client's condition.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}

Answer: The nurse is evaluating the client's response to the prescribed medications. The client's blood pressure and HDL level indicate an improvement in the client's condition.

Blood pressure: The client's blood pressure decreased from 180/88 mm Hg to 138/70 mm Hg, which indicates an effective response to atenolol, a betablocker used for hypertension management.

HDL level: The HDL ("good cholesterol") increased from 25 mg/dL to 60 mg/dL, reflecting a positive response to simvastatin, which helps improve lipid profiles and reduce cardiovascular risk.

Heart rate: The heart rate dropped from 96/min to 58/min, which may be due to atenolol. While bradycardia is a side effect, it is only concerning if it drops below 50/min.

Weight: The client gained 4 kg (8.8 lb), which may indicate fluid retention and requires further assessment.

Potassium level: The potassium level increased from 4.2 to 5.3 mEq/L, likely due to spironolactone, a potassiumsparing diuretic. This is above the normal range and requires monitoring for hyperkalemia.

Pedal findings: The edema worsened from 2+ to 3+, indicating fluid retention and possible worsening heart failure, requiring intervention.

Pulse oximetry: The oxygen saturation slightly decreased from 97% to 95%, but this is within normal limits and does not indicate a significant clinical improvement or deterioration.

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Correct Answer is A

Explanation

A. Protamine sulfate is the specific antidote for heparin toxicity, working by neutralizing heparin’s anticoagulant effects. It binds to heparin to form a stable complex, preventing excessive bleeding. It is administered intravenously (IV) in cases of heparin overdose or severe bleeding complications.
B. Vitamin K is the antidote for warfarin (Coumadin), not heparin. It promotes the synthesis of clotting factors II, VII, IX, and X, but it does not affect heparin’s mechanism of action, which works by inhibiting thrombin and factor Xa.
C. Deferasirox is an iron chelating agent used to treat iron overload in conditions like thalassemia or hemochromatosis. It does not reverse anticoagulation caused by heparin.
D. Acetylcysteine is primarily used to treat acetaminophen (Tylenol) overdose and as a mucolytic for respiratory conditions. It has no role in counteracting heparin’s effects.

A. 1 cup canned black beans B. 8 oz whole milk C. 1.5 oz raisins D. 8 oz black tea

Correct Answer is A

Explanation

A. 1 cup canned black beans. Black beans are a rich source of iron, particularly nonheme iron, which can help replenish iron stores in clients with iron deficiency anemia. To enhance absorption, they should be consumed with a source of vitamin C, such as citrus fruits or tomatoes.
B. 8 oz whole milk. While milk is nutritious, it is not a good source of iron and can actually interfere with iron absorption due to its high calcium content. Excessive milk intake is a common cause of iron deficiency anemia, particularly in children.
C. 1.5 oz raisins. Raisins contain some iron, but the amount is relatively low compared to other ironrich foods. While they can be included as part of an ironrich diet, they should not be relied upon as a primary source of iron.
D. 8 oz black tea. Black tea contains tannins, which inhibit iron absorption by binding to nonheme iron in the intestines. Clients with iron deficiency anemia should be advised to avoid drinking tea with meals to maximize iron absorption.

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Correct Answer is A

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Correct Answer is A

Explanation

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