A nurse is caring for a 68-year-old male client with congestive heart failure in the Medical-Surgical unit.
The nurse reviews the client's nursing note, vital signs, and diagnostic results. Based on the findings, which of the following prescriptions should the nurse anticipate for this client?
Complete the following sentence by using the lists of options.
The nurse should anticipate the provider to prescribe
The Correct Answer is {"dropdown-group-1":"C"}
Choice A rationale: Furosemide is a loop diuretic used to reduce fluid overload in CHF patients. However, it can exacerbate electrolyte imbalances, particularly hypokalemia. Since the client is already experiencing muscle spasms and has low calcium levels, additional diuretic therapy could worsen these symptoms.
Choice B rationale: Metoprolol is a beta-blocker used to manage hypertension and heart rate in CHF patients. While beneficial for blood pressure control, it does not address the immediate issue of muscle spasms and constipation the client is experiencing.
Choice C rationale: Potassium chloride is indicated to address potential hypokalemia, which may be causing the client's muscle spasms. CHF patients on diuretics often experience low potassium levels, so supplementation is crucial to prevent complications and alleviate symptoms.
Choice D rationale: Acetaminophen is an analgesic and antipyretic, useful for pain and fever management. However, it does not address the client's reported muscle spasms, which are likely related to electrolyte imbalances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A receptor antagonist blocks the effects of normal cellular functions by binding to receptor sites and preventing endogenous substances (like hormones or neurotransmitters) from activating those receptors.
Choice B rationale
Receptor antagonists do not accelerate hormones attaching to cell receptor sites; they prevent this process by blocking the receptors.
Choice C rationale
Receptor antagonists do not minimize the risk of other medications becoming toxic. They specifically block the action of certain endogenous substances.
Choice D rationale
Receptor antagonists do not increase the action of cells; rather, they inhibit or block the usual effects.
Correct Answer is C
Explanation
Choice A rationale
Digoxin is a cardiac glycoside used for heart failure and arrhythmias, not a diuretic.
Choice B rationale
Spironolactone is a potassium-sparing diuretic, preventing hypokalemia.
Choice C rationale
Furosemide is a loop diuretic that can cause hypokalemia by increasing potassium excretion.
Choice D rationale
Captopril is an ACE inhibitor used for hypertension and heart failure, not a diuretic.
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