Try Naxlex NCLEX-RN (Free-Trial)

A nurse is assisting with the care of a client on a medical surgical unit who was admitted from the emergency department.

Exhibits

For each assessment finding on Day 2 click to specify if the finding is due to lisinopril, carvedilol, or furosemide. Each finding may be related to more than 1 medication.

A.

Calcium level

B.

Potassium level

C.

Sodium level

D.

Edema

E.

Oxygen saturation

F.

Blood pressure

G.

Weight

Answer and Explanation

The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A,C"},"C":{"answers":"C"},"D":{"answers":"C"},"E":{"answers":"B"},"F":{"answers":"A,B"},"G":{"answers":"B,C"}}

  • Calcium level: Decreased due to furosemide, a loop diuretic that increases calcium excretion in the urine, leading to mild hypocalcemia.
  • Potassium level: Decreased due to furosemide, which causes potassium loss through diuresis. Lisinopril, an ACE inhibitor, can cause potassium retention, but in this case, the effect of furosemide dominates.
  • Sodium level: Decreased due to furosemide-induced diuresis, which can lead to hyponatremia by excessive sodium loss.
  • Edema: Improved due to furosemide, which promotes fluid removal and reduces volume overload associated with heart failure.
  • Oxygen saturation: Improved due to carvedilol, which reduces heart failure symptoms by decreasing myocardial oxygen demand and improving cardiac output.
  • Blood pressure: Lowered due to both carvedilol (a beta-blocker) and lisinopril (an ACE inhibitor), both of which reduce systemic vascular resistance.
  • Weight: Decreased due to both carvedilol, which helps manage fluid retention over time in heart failure, and furosemide, which directly reduces fluid overload through diuresis.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is D

Explanation

A. Position the client's head northward. In Islamic tradition, the body is typically positioned with the head facing Mecca, not northward. This direction holds religious significance for Muslims as the holiest city in Islam.
B. Allow a family member to stay with the client's body for 8 hr. While family members may wish to remain with the body, there is no strict time limit. Islamic customs often encourage continuous presence until burial, which should occur as soon as possible.
C. Position the client's head toward Mecca. While this is an important aspect of Islamic postmortem care, the entire body, not just the head, should be positioned so that it faces Mecca if possible. Additionally, proper washing and shrouding rituals are observed before burial.
D. Allow a family member of the client to stay with the client's body until burial. In Islamic tradition, the body is never left alone, and family members or members of the Muslim community often stay with the deceased until burial. This practice ensures that religious rites are observed and that the body is treated with the utmost respect.

Correct Answer is ["A","B","C","D","E","H","J"]

Explanation

  • WBC count 6,700/mm³ is unchanged from previous readings, remaining within normal limits, indicating no new or worsening infection or inflammatory response.
  • Hemoglobin 12 g/dL represents a significant increase from the previous value of 7.8 g/dL, demonstrating successful red blood cell transfusion and improvement in oxygen-carrying capacity.
  • Hematocrit 36% is also markedly improved from 24%, further confirming correction of anemia following transfusion.
  • Blood pressure 112/74 mm Hg has increased from a low of 76/45 mm Hg, indicating improved circulatory status and perfusion following fluid resuscitation and transfusion.
  • Heart rate 95/min is a decrease from previous tachycardic values (121/min), suggesting stabilization of hemodynamics and resolution of compensatory response to anemia and hypotension.
  • Oxygen saturation 100% on 2 L/min O₂ via nasal cannula confirms adequate oxygenation, demonstrating improved hemoglobin levels and effective oxygen delivery.
  • Respiratory: bilateral breath sounds clear confirms stable respiratory function, showing no complications such as fluid overload or transfusion-related lung injury.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register